Beverly Marie Clark, MD - Medicare Family Practice in Yates Center, KS

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Beverly Marie Clark, MD is a medicare enrolled "Family Medicine" physician in Yates Center, Kansas. She went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2009 and has 17 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Coffey County Medical Center, Coffey County Hospital and her current practice location is 1004 E. Madison St, Yates Center, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 625-2312.

Beverly Marie Clark is licensed to practice in Kansas (license number 04-34503) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649404625.

Contact Information

Beverly Marie Clark, MD
1004 E. Madison St,
Yates Center, KS 66783-1314
(620) 625-2312
(620) 625-3560

Map and Direction




Physician's Profile

Full NameBeverly Marie Clark
GenderFemale
SpecialityFamily Practice
Experience17 Years
Location1004 E. Madison St, Yates Center, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Beverly Marie Clark attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2009
  NPI Data:
  • NPI Number: 1649404625
  • Provider Enumeration Date: 05/06/2009
  • Last Update Date: 04/07/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6305099896
  • Enrollment ID: I20130111000395

Medical Identifiers

Medical identifiers for Beverly Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649404625NPI-NPPES
200969130CMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 04-34503 (Kansas)Primary
207Q00000XFamily Medicine 94-07126 (Kansas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Greenwood County Hospital HhaEureka, KSHome health agency
Coffey County HospitalBurlington, KSHospital
Neosho Memorial Regional Medical CenterChanute, KSHospital
Fredonia Regional HospitalFredonia, KSHospital
Allen County Regional HospitalIola, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coffey County Medical Center488058839112
Coffey County Hospital498159865315

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. Beverly Marie Clark allows following entities to bill medicare on her behalf.
Entity NameCoffey County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508941865
PECOS PAC ID: 4981598653
Enrollment ID: O20040212000478
Entity NameCoffey County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760486690
PECOS PAC ID: 4880588391
Enrollment ID: O20040213000197
Entity NameCoffey County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1376548370
PECOS PAC ID: 4981598653
Enrollment ID: O20170317000027

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. Beverly Marie 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 AddressPractice Location Address
Beverly Marie Clark, MD
309 Sanders St,
Burlington, KS 66839-2616

Ph: (620) 364-5395		Beverly Marie Clark, MD
1004 E. Madison St,
Yates Center, KS 66783-1314

Ph: (620) 625-2312

Reviews and Comments


Family Medicine Doctors in Yates Center, KS


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.