Charles E Clark Iv, MD in Salem, VA - Medicare Anesthesiology

Charles E Clark Iv, MD is a medicare enrolled "Anesthesiology" physician in Salem, Virginia. He went to Brody School Of Medicine At East Carolina University and graduated in 1992 and has 32 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Valley Anesthesia Pc, Gate City Anesthesia, Inc and his current practice location is 1900 Electric Rd, Salem, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 772-7200.

Charles E Clark Iv is licensed to practice in Virginia (license number 0101053907) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194745851.

Contact Information

	Charles E Clark Iv, MD
	1900 Electric Rd, Salem, VA 24153-7474
	(540) 772-7200
	Not Available

Map and Direction

Physician's Profile

Full Name	Charles E Clark Iv
Gender	Male
Speciality	Anesthesiology
Experience	32 Years
Location	1900 Electric Rd, Salem, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles E Clark Iv attended and graduated from Brody School Of Medicine At East Carolina University in 1992

NPI Data:

NPI Number: 1194745851
Provider Enumeration Date: 07/19/2006
Last Update Date: 02/14/2008

Medicare PECOS Information:

PECOS PAC ID: 2961395686
Enrollment ID: I20040205001209

Medical Identifiers

Medical identifiers for Charles E Clark Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194745851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	0101053907 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lewisgale Medical Center	Salem, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Valley Anesthesia Pc	7416851597	71
Gate City Anesthesia, Inc	8820089329	22

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. Charles E Clark Iv allows following entities to bill medicare on his behalf.

Entity Name	Valley Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275587115 PECOS PAC ID: 7416851597 Enrollment ID: O20031120000746

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. Charles E Clark Iv 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
Charles E Clark Iv, MD Po Box 13888, Roanoke, VA 24038-3888 Ph: (540) 772-7200	Charles E Clark Iv, MD 1900 Electric Rd, Salem, VA 24153-7474 Ph: (540) 772-7200

Reviews and Comments

Anesthesiology Doctors in Salem, VA

Mark D Hamilton, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Anesthesia Department, Salem, VA 24153 Phone: 540-776-4000
George M. Baylor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Knotbreak Rd, Salem, VA 24153 Phone: 540-444-5670 Fax: 540-444-5669
Dr. Douglas Richard Nemec, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463
Jeffrey A Forbes, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-772-7200
Marc A Swanson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 100 Knotbreak Rd, Salem, VA 24153 Phone: 540-444-5670 Fax: 540-444-5669
Daniel C. Summerlin Jr., M. D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Electric Rd, Salem, VA 24153 Phone: 540-772-7200

Charles E Clark Iv, MD - Medicare Anesthesiology in Salem, VA