David Clark Jr, MD in Washington, DC - Medicare Emergency Medicine

David Clark Jr, MD is a medicare enrolled "Emergency Medicine" physician in Washington, District Of Columbia. He went to Howard University College Of Medicine and graduated in 1982 and has 42 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Upper Chesapeake Emergency Medicine Physicians Llc and his current practice location is 1310 Southern Ave Se, Washington, District Of Columbia. You can reach out to his office (for appointments etc.) via phone at (202) 574-6000.

David Clark Jr is licensed to practice in District Of Columbia (license number MD 03952) 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 1154385086.

Contact Information

	David Clark Jr, MD
	1310 Southern Ave Se, Washington, DC 20032-4623
	(202) 574-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	David Clark Jr
Gender	Male
Speciality	Emergency Medicine
Experience	42 Years
Location	1310 Southern Ave Se, Washington, District Of Columbia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Clark Jr attended and graduated from Howard University College Of Medicine in 1982

NPI Data:

NPI Number: 1154385086
Provider Enumeration Date: 04/17/2006
Last Update Date: 09/26/2011

Medicare PECOS Information:

PECOS PAC ID: 8527136746
Enrollment ID: I20110627000213

Medical Identifiers

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

Identifier	Type	State	Issuer
1154385086	NPI	-	NPPES
8907737	Medicaid	NC
8922548	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	31461 (North Carolina)	Secondary
207P00000X	Emergency Medicine	MD 03952 (District Of Columbia)	Primary
207P00000X	Emergency Medicine	D0067329 (Maryland)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Umd Prince George's Hospital Ctr	Cheverly, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Upper Chesapeake Emergency Medicine Physicians Llc	2860587342	83

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 Clark Jr allows following entities to bill medicare on his behalf.

Entity Name	Maryland Emergency Medicine Network Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871852962 PECOS PAC ID: 9638334162 Enrollment ID: O20120706000207

Entity Name	Upper Chesapeake Emergency Medicine Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285854026 PECOS PAC ID: 2860587342 Enrollment ID: O20210121001233

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 Clark Jr 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 Clark Jr, MD 2305 Oberwood Drive, Charlotte, NC 28270 Ph: (704) 241-8853	David Clark Jr, MD 1310 Southern Ave Se, Washington, DC 20032-4623 Ph: (202) 574-6000

Reviews and Comments

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David Clark Jr, MD - Medicare Emergency Medicine in Washington, DC