Bradly D Clark, MD - Medicare Pathology in Memphis, TN

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Bradly D Clark, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Memphis, Tennessee. His current practice location is 3495 Hacks Cross Rd, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 526-7444.

Bradly D Clark is licensed to practice in Tennessee (license number MD47889) 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 1023098928.

Contact Information

Bradly D Clark, MD
3495 Hacks Cross Rd,
Memphis, TN 38125-8803
(901) 526-7444
(901) 271-2618

Map and Direction




Physician's Profile

Full NameBradly D Clark
GenderMale
SpecialityPathology - Anatomic Pathology
Location3495 Hacks Cross Rd, Memphis, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023098928
  • Provider Enumeration Date: 01/18/2006
  • Last Update Date: 05/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2961465588
  • Enrollment ID: I20111115000123

Medical Identifiers

Medical identifiers for Bradly D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023098928NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology 231963 (New York)Secondary
207ZP0101XPathology - Anatomic Pathology MD47889 (Tennessee)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. Bradly D Clark allows following entities to bill medicare on his behalf.
Entity NamePoplar Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346271251
PECOS PAC ID: 5496731838
Enrollment ID: O20040626000418
Entity NameGastrointestinal Associates Of Northeast Tennessee, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578529632
PECOS PAC ID: 7416923396
Enrollment ID: O20040902000952
Entity NameAmeripath Indianapolis Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013759059
PECOS PAC ID: 2961475058
Enrollment ID: O20241213000509

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. Bradly D 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
Bradly D Clark, MD
3495 Hacks Cross Rd,
Memphis, TN 38125-8803

Ph: (901) 526-7444		Bradly D Clark, MD
3495 Hacks Cross Rd,
Memphis, TN 38125-8803

Ph: (901) 526-7444

Reviews and Comments


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Shuyu E, MD
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Mufaddal Najmuddin, M.D.
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Phone: 901-227-5135    

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.