| Daniel Keith Clark, DO | |
|
1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | |
| (240) 857-2333 | |
| Not Available |
| Full Name | Daniel Keith Clark |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 1060 W Perimeter Rd, Jb Andrews, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649776634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | H92838 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medstar Southern Maryland Hospital Center | Clinton, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Whc Physician Group Llc | 6103093513 | 301 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Entity Name | Whc Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700154226 PECOS PAC ID: 6103093513 Enrollment ID: O20140711000014 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Keith Clark, DO 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 857-2333 | Daniel Keith Clark, DO 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 857-2333 |
David Basile, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 888-999-1212 | |
Nathan Marc Kinder, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1051 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Dr. Dominic Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Daniel Jonathan Silver, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Alexis Corcoran, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 188-899-9121 | |
Steven Douglas Sikora, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-612-2359 |