| Austin Daniel Clark, | |
|
1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | |
| (850) 431-7901 | |
| (850) 431-8251 |
| Full Name | Austin Daniel Clark |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 4 Years |
| Location | 1300 Miccosukee Rd, Tallahassee, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750022208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME173100 (Florida) | Secondary |
| 208M00000X | Hospitalist | ME173100 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tallahassee Memorial Hospital | Tallahassee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tallahassee Memorial Healthcare Inc | 6103724778 | 498 |
| Entity Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437177664 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
| Entity Name | Dr Joseph D Paolucci MD PA LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790283661 PECOS PAC ID: 4284995424 Enrollment ID: O20180302001156 |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Daniel Clark, 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 Ph: (850) 431-7901 | Austin Daniel Clark, 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 Ph: (850) 431-7901 |
Mr. Expedito Marvilla Salvador, PA Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 960 Learning Way, Tallahassee, FL 32306 Phone: 850-644-1802 Fax: 850-644-4251 |
Adam Chong Joo, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Hospitalist Group, Tallahassee, FL 32308 Phone: 850-431-4996 Fax: 850-431-6315 |
Dmytro Bohuslavskyi, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-7901 Fax: 850-431-7990 |
Mohsan Khan, Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-7900 |
Dr. Aaron Chen, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 850-325-5000 |
David Castillo, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Hospitalists Group, Tallahassee, FL 32308 Phone: 850-431-4556 Fax: 850-431-6513 |
Yone Carolina Scaramelli Dos Santos, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-4556 |