Cornell M Clark, MD - Medicare Family Practice in Las Vegas, NV

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Cornell M Clark, MD is a medicare enrolled "Family Medicine" physician in Las Vegas, Nevada. He graduated from medical school in 1981 and has 45 years of diverse experience with area of expertise as Family Practice. His current practice location is 888 S Rancho Dr, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 877-5199.

Cornell M Clark is licensed to practice in Nevada (license number 6460) 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 1700990421.

Contact Information

Cornell M Clark, MD
888 S Rancho Dr,
Las Vegas, NV 89106-3810
(702) 877-5199
(702) 258-6152

Map and Direction




Physician's Profile

Full NameCornell M Clark
GenderMale
SpecialityFamily Practice
Experience45 Years
Location888 S Rancho Dr, Las Vegas, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cornell M Clark graduated from medical school in 1981
  NPI Data:
  • NPI Number: 1700990421
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7719977503
  • Enrollment ID: I20251010001320

Medical Identifiers

Medical identifiers for Cornell M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700990421NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G84970 (California)Secondary
207Q00000XFamily Medicine 6460 (Nevada)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. Cornell M Clark allows following entities to bill medicare on his behalf.
Entity NameAmerican Current Care PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962680454
PECOS PAC ID: 9739260019
Enrollment ID: O20090902000115

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. Cornell M 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 AddressPractice Location Address
Cornell M Clark, MD
Po Box 35380,
Las Vegas, NV 89133-5380

Ph: (702) 838-8265		Cornell M Clark, MD
888 S Rancho Dr,
Las Vegas, NV 89106-3810

Ph: (702) 877-5199

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.