| Donald Wayne Clark, MD | |
|
801 Vassar Ne, Albuquerque Indian Health Center, Albuquerque, NM 87106 | |
| (505) 248-4065 | |
| (505) 248-4093 |
| Full Name | Donald Wayne Clark |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 801 Vassar Ne, Albuquerque, New Mexico |
| 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 |
|---|---|---|---|
| 1083773931 | NPI | - | NPPES |
| 13026 | Other | PRESBYTERIAN HEALTH PLAN | |
| HSZ162 | Other | NM | MEDICARE GROUP PTAN |
| S5748 | Medicaid | NM | |
| 05679079 | Medicaid | NM | |
| 723553 | Medicaid | AZ | |
| 2618 | Other | LOVELACE SALUD | |
| 8HZ91W | Other | NM | MEDICARE PTAN |
| HSZ196 | Other | NM | MEDICARE PART B |
| K3526 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 96216 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| State Of New Mexico | 2062412869 | 17 |
| Entity Name | State Of New Mexico |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992867998 PECOS PAC ID: 2062412869 Enrollment ID: O20091021000191 |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Wayne Clark, MD 801 Vassar Ne, Albuquerque Indian Health Clinic, Albuquerque, NM 87106 Ph: (505) 248-4065 | Donald Wayne Clark, MD 801 Vassar Ne, Albuquerque Indian Health Center, Albuquerque, NM 87106 Ph: (505) 248-4065 |
Anne Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Constitution Ave Ne, Albuquerque, NM 87110 Phone: 505-272-2700 | |
Dr. Matias James Vega, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1217 1st St Nw, Albuquerque Health Care For The Homeless, Albuquerque, NM 87102 Phone: 505-242-4644 Fax: 505-242-3531 | |
Bill Daugherty, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5901 Harper Dr Ne, Pmg Urgent Care, Albuquerque, NM 87109 Phone: 505-823-8233 Fax: 505-823-8059 | |
Mr. John A Bond, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 Irving Blvd Nw, Albuquerque, NM 87114 Phone: 505-727-6300 Fax: 505-727-9588 | |
Margaret Peggy Spencer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1501 San Pedro Dr Se, Albuquerque, NM 87108 Phone: 505-265-1711 Fax: 505-256-6414 | |
Daniel L. Stulberg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Msc 09 5040, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-2165 | |
Carrie A Irvin, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1524 Eubank Blvd Ne Ste 6, Albuquerque, NM 87112 Phone: 505-503-8806 Fax: 888-503-8511 |