David Anthony Clark, MD in Glen Allen, VA - Medicare Emergency Medicine

David Anthony Clark, MD is a medicare enrolled "Emergency Medicine" physician in Glen Allen, Virginia. His current practice location is 11453 Abbots Cross Ln, Glen Allen, Virginia. You can reach out to his office (for appointments etc.) via phone at (804) 347-4357.

David Anthony Clark is licensed to practice in Virginia (license number 0101032223) 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 1659518926.

Contact Information

	David Anthony Clark, MD
	11453 Abbots Cross Ln, Glen Allen, VA 23059-1102
	(804) 347-4357
	Not Available

Map and Direction

Physician's Profile

Full Name	David Anthony Clark
Gender	Male
Speciality	Emergency Medicine
Location	11453 Abbots Cross Ln, Glen Allen, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659518926
Provider Enumeration Date: 01/08/2009
Last Update Date: 08/03/2023

Medicare PECOS Information:

PECOS PAC ID: 4486700184
Enrollment ID: I20091210000744

Medical Identifiers

Medical identifiers for David Anthony Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659518926	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0101032223 (Virginia)	Secondary
207P00000X	Emergency Medicine	0101032223 (Virginia)	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. David Anthony Clark allows following entities to bill medicare on his behalf.

Entity Name	App Of Tennessee Ed Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003230236 PECOS PAC ID: 8123251766 Enrollment ID: O20180814002326

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. David Anthony 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
David Anthony Clark, MD 11453 Abbots Cross Ln, Glen Allen, VA 23059-1102 Ph: (804) 347-4357	David Anthony Clark, MD 11453 Abbots Cross Ln, Glen Allen, VA 23059-1102 Ph: (804) 347-4357

Reviews and Comments

Emergency Medicine Doctors in Glen Allen, VA

Richard R Gill, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 11608 Coachmans Carriage Pl, Glen Allen, VA 23059 Phone: 804-287-7066 Fax: 804-673-9531
Melanie Parham Boggs, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5360 Twin Hickory Rd, Glen Allen, VA 23059 Phone: 804-346-3200 Fax: 804-288-0515
Gunvor E Weirick-sacks, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4687 Pouncey Tract Rd, Glen Allen, VA 23059 Phone: 804-422-5437 Fax: 804-474-9071
Robert Mason Daniels, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5360 Twin Hickory Rd, Glen Allen, VA 23059 Phone: 804-346-3200 Fax: 804-346-4075

David Anthony Clark, MD - Medicare Emergency Medicine in Glen Allen, VA