Christopher James Clark, DO in Bastrop, LA

Christopher James Clark, DO is a medicare enrolled "Family Medicine" physician in Bastrop, Louisiana. His current practice location is 314 N Franklin St, Bastrop, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 283-8887.

Christopher James Clark is licensed to practice in Louisiana (license number 326968) 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 1194286955.

Contact Information

	Christopher James Clark, DO
	314 N Franklin St, Bastrop, LA 71220-3846
	(318) 283-8887
	(318) 281-6339

Map and Direction

Physician's Profile

Full Name	Christopher James Clark
Gender	Male
Speciality	Family Medicine
Location	314 N Franklin St, Bastrop, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194286955
Provider Enumeration Date: 03/26/2019
Last Update Date: 02/10/2023

Medicare PECOS Information:

PECOS PAC ID: 3678980869
Enrollment ID: I20230301000582

Medical Identifiers

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

Identifier	Type	State	Issuer
1194286955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	326968 (Louisiana)	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. Christopher James Clark allows following entities to bill medicare on his behalf.

Entity Name	Morehouse Community Medical Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053373191 PECOS PAC ID: 1254343593 Enrollment ID: O20060703000063

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 James 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 James Clark, DO Po Box 792, Bastrop, LA 71221-0792 Ph: (318) 283-8887	Christopher James Clark, DO 314 N Franklin St, Bastrop, LA 71220-3846 Ph: (318) 283-8887

Reviews and Comments

Family Medicine Doctors in Bastrop, LA

Ms. Alexis Jones, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9110 Redwood Dr, Bastrop, LA 71220 Phone: 318-953-0330
Tahir M Qayyum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 Durham St, Bastrop, LA 71220 Phone: 318-283-2200 Fax: 318-283-1200
Daniel A Trejo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 S Vine St, Bastrop, LA 71220 Phone: 318-283-3970
James M. Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 532 S Washington St, Bastrop, LA 71220 Phone: 318-283-3965 Fax: 318-239-8965
Dr. Jack Cole Noble, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 355 W Hickory Ave, Bastrop, LA 71220 Phone: 318-281-4450 Fax: 318-281-4464
Cierra January, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 314 N. Franklin Street, Bastrop, LA 71221 Phone: 318-283-8887 Fax: 318-281-2559

Christopher James Clark, DO - Medicare Family Medicine in Bastrop, LA