| David Clark Jr, MD | |
|
9000 Woodyard Rd, Clinton, MD 20735-4206 | |
| (240) 546-3428 | |
| Not Available |
| Full Name | David Clark Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 44 Years |
| Location | 9000 Woodyard Rd, Clinton, 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 |
|---|---|---|---|
| 1154385086 | NPI | - | NPPES |
| 8907737 | Medicaid | NC | |
| 8922548 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101284104 (Virginia) | Secondary |
| 207Q00000X | Family Medicine | D0067329 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Inova Alexandria Hospital | Alexandria, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Inova Ucc Llc | 7012385040 | 158 |
| Inova Ucc Llc | 7012385040 | 158 |
| Entity Name | Emergency Medicine Associates P.A., P.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20070919000389 |
| Entity Name | Doctors First Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912160458 PECOS PAC ID: 3870661978 Enrollment ID: O20081002000261 |
| Entity Name | Inova Ucc LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508592114 PECOS PAC ID: 7012385040 Enrollment ID: O20221201001300 |
| Mailing Address | Practice Location Address |
|---|---|
| David Clark Jr, MD Po Box 791775, Baltimore, MD 21279-1775 Ph: (571) 302-5000 | David Clark Jr, MD 9000 Woodyard Rd, Clinton, MD 20735-4206 Ph: (240) 546-3428 |
Joseph Peter Caruso, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave, Suite D-203, Clinton, MD 20735 Phone: 301-868-1220 Fax: 301-856-3550 |
Dr. Vivian Lee Artis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9000 Woodyard Rd, Clinton, MD 20735 Phone: 240-546-3428 Fax: 240-546-3429 |
Okechukwu A Nwodim, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7700 Old Branch Ave, Ste B201, Clinton, MD 20735 Phone: 301-868-0150 Fax: 301-868-0243 |
Dr. Glenn Robert Edgecombe, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave, Ste B201, Clinton, MD 20735 Phone: 301-868-0150 Fax: 301-868-0243 |
Jarita Arnette Hagans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9000 Woodyard Rd, Clinton, MD 20735 Phone: 240-546-3428 |
Rosario P Fernandez, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7700 Old Branch Ave, Suite C102, Clinton, MD 20735 Phone: 301-868-8200 Fax: 301-868-6776 |
Nkangu Kenneth Fomengia, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9000 Woodyard Rd, Clinton, MD 20735 Phone: 240-546-3428 Fax: 240-546-3429 |