Clark Calvin Anderson, MD in Winston Salem, NC - Medicare Student in an Organized Health Care Education/Training Program

Clark Calvin Anderson, MD - Medicare Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Clark Calvin Anderson, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Winston Salem, North Carolina. His current practice location is 1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2011.

Clark Calvin Anderson is licensed to practice in * (Not Available) (license number ) 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 1104485770.

Contact Information

	Clark Calvin Anderson, MD
	1 Medical Center Blvd, Winston Salem, NC 27157-0001
	(336) 716-2011
	Not Available

Map and Direction

Physician's Profile

Full Name	Clark Calvin Anderson
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	1 Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104485770
Provider Enumeration Date: 06/07/2019
Last Update Date: 06/13/2019

Medicare PECOS Information:

PECOS PAC ID: 6608103841
Enrollment ID: I20190809001466

Medical Identifiers

Medical identifiers for Clark Calvin Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104485770	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	NONE (North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Clark Calvin Anderson 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
Clark Calvin Anderson, MD 1801 Grand Silo Way, Winston Salem, NC 27127-5170 Ph: (920) 460-8927	Clark Calvin Anderson, MD 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011