Bennett William Clark, MD in Stamford, CT - Medicare Internal Medicine

Bennett William Clark, MD is a medicare enrolled "Internal Medicine" physician in Stamford, Connecticut. His current practice location is 9 W Broad St Ste 320, Stamford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (475) 251-8856.

Bennett William Clark is licensed to practice in Minnesota (license number 62233) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831416569.

Contact Information

	Bennett William Clark, MD
	9 W Broad St Ste 320, Stamford, CT 06902-3758
	(475) 251-8856
	Not Available

Map and Direction

Physician's Profile

Full Name	Bennett William Clark
Gender	Male
Speciality	Internal Medicine
Location	9 W Broad St Ste 320, Stamford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831416569
Provider Enumeration Date: 04/20/2010
Last Update Date: 07/21/2025

Medicare PECOS Information:

PECOS PAC ID: 5395980510
Enrollment ID: I20171019001402

Medical Identifiers

Medical identifiers for Bennett William Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831416569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	D0075366 (Maryland)	Secondary
208M00000X	Hospitalist	54459 (Connecticut)	Secondary
207R00000X	Internal Medicine	62233 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bennett William Clark allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bennett William Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bennett William Clark, MD 9 W Broad St Ste 320, Stamford, CT 06902-3758 Ph: () -	Bennett William Clark, MD 9 W Broad St Ste 320, Stamford, CT 06902-3758 Ph: (475) 251-8856

Reviews and Comments

Internal Medicine Doctors in Stamford, CT

Jeanne M Hosinski, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3 Sweet Briar Rd, Stamford, CT 06905 Phone: 203-968-8101
Dr. Santi J Neuberger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1290 Summer St, Stamford, CT 06905 Phone: 203-324-9955 Fax: 203-324-0171
Karishma Bellara, PA Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 190 W Broad St, Stamford, CT 06902 Phone: 203-348-2437 Fax: 203-276-7243
Dr. Brian Barry Hennessy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 90 Morgan St, Ste 202, Stamford, CT 06905 Phone: 203-348-2922 Fax: 203-358-8721
Dr. Andreas Bub, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Plz, Stamford, CT 06902 Phone: 203-276-7147
Katharine Meyers, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1450 Washington Blvd, Stamford, CT 06902 Phone: 203-327-9321 Fax: 203-967-2140
Dr. Brian Sebastian Wojeck, M.D. M. P.H Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 260 Long Ridge Rd, Stamford, CT 06902 Phone: 203-737-1058

Bennett William Clark, MD - Medicare Internal Medicine in Stamford, CT