Clark Martin, MD is a medicare enrolled "Internal Medicine" physician in Gluckstadt, Mississippi. His current practice location is
102 Lexington Dr Ste 100, Gluckstadt, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 973-1688.
Clark Martin is licensed to practice in Mississippi (license number 35930) 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 1598415374.
Physician's Profile
Full Name | Clark Martin |
---|
Gender | Male |
---|
Speciality | Internal Medicine |
---|
Location | 102 Lexington Dr Ste 100, Gluckstadt, Mississippi |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1598415374
- Provider Enumeration Date: 03/25/2022
- Last Update Date: 10/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 6002331485
- Enrollment ID: I20250417002576
Medical Identifiers
Medical identifiers for Clark Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598415374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 35930 (Mississippi) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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 Martin 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 Martin, MD 2945 Layfair Dr Apt 1222, Flowood, MS 39232-9769 Ph: (662) 554-9366 | Clark Martin, MD 102 Lexington Dr Ste 100, Gluckstadt, MS 39110-6952 Ph: (601) 973-1688 |
Reviews and Comments