Christopher David Clark, MD in Hagerstown, MD - Medicare Interventional Pain Management

Christopher David Clark, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Hagerstown, Maryland. He went to Brody School Of Medicine At East Carolina University and graduated in 2010 and has 14 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Meritus Medical Center Inc, Premiere Spine And Sports Medicine Llc and his current practice location is 13114 Pennsylvania Ave, Hagerstown, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 800-7770.

Christopher David Clark is licensed to practice in Maryland (license number D0082490) 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 1215257217.

Contact Information

	Christopher David Clark, MD
	13114 Pennsylvania Ave, Hagerstown, MD 21742-2741
	(301) 800-7770
	(301) 800-7891

Map and Direction

Physician's Profile

Full Name	Christopher David Clark
Gender	Male
Speciality	Interventional Pain Management
Experience	14 Years
Location	13114 Pennsylvania Ave, Hagerstown, Maryland
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:

Christopher David Clark attended and graduated from Brody School Of Medicine At East Carolina University in 2010

NPI Data:

NPI Number: 1215257217
Provider Enumeration Date: 06/02/2010
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5193955896
Enrollment ID: I20170915000484

Medical Identifiers

Medical identifiers for Christopher David Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215257217	NPI	-	NPPES
9822046	Medicaid	MD
0460583	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	D0082490 (Maryland)	Primary
208100000X	Physical Medicine & Rehabilitation	25MA09515800 (New Jersey)	Secondary
208100000X	Physical Medicine & Rehabilitation	MD451865 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Meritus Medical Center	Hagerstown, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Meritus Medical Center Inc	7113811795	101
Premiere Spine And Sports Medicine Llc	6901170885	4

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. Christopher David Clark allows following entities to bill medicare on his behalf.

Entity Name	Meritus Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205176393 PECOS PAC ID: 7113811795 Enrollment ID: O20040212000950

Entity Name	Premiere Spine And Sports Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245760875 PECOS PAC ID: 6901170885 Enrollment ID: O20170915000585

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. Christopher David 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
Christopher David Clark, MD 13114 Pennsylvania Ave, Hagerstown, MD 21742-2741 Ph: (301) 800-7770	Christopher David Clark, MD 13114 Pennsylvania Ave, Hagerstown, MD 21742-2741 Ph: (301) 800-7770

Reviews and Comments

Physical Medicine & Rehabilitation Doctors in Hagerstown, MD

Dr. Cheryl Lourdes Mejia, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1150 Professional Ct, Suite P, Hagerstown, MD 21740 Phone: 301-665-9696 Fax: 240-420-5715
Ngozi Juliet Efobi, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1150 Professional Ct, Suite B, Hagerstown, MD 21740 Phone: 301-797-4901 Fax: 301-797-4464
Alyssa Faith Eisenhart, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1045 Maryland Ave, Hagerstown, MD 21740 Phone: 301-739-5437
Mark Joseph Yacyk, D.O. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 Phone: 301-665-4950 Fax: 301-665-4956
Cynthia Brendle, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 Phone: 240-420-4133
Dr. Ramakrishna R Kosuri, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 Phone: 301-665-4950 Fax: 301-665-4956

Christopher David Clark, MD - Medicare Interventional Pain Management in Hagerstown, MD