Donovan Deryl Clark, MD - Medicare Psychiatry & Neurology in Danville, VA

  1. Home
  2. Psychiatry & Neurology
  3. VA
  4. Danville
Donovan Deryl Clark, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Danville, Virginia. His current practice location is 382 Taylor Dr, Danville, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 773-4240.

Donovan Deryl Clark is licensed to practice in Virginia (license number VA 0101057639) 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 1235199100.

Contact Information

Donovan Deryl Clark, MD
382 Taylor Dr,
Danville, VA 24541
(434) 773-4240
(434) 773-4241

Map and Direction




Physician's Profile

Full NameDonovan Deryl Clark
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location382 Taylor Dr, Danville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235199100
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 01/08/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9234429457
  • Enrollment ID: I20161019003190

Medical Identifiers

Medical identifiers for Donovan Deryl Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235199100NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry VA 0101057639 (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. Donovan Deryl Clark allows following entities to bill medicare on his behalf.
Entity NamePrince William County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053402800
PECOS PAC ID: 7113912973
Enrollment ID: O20040420000249
Entity NameCommonwealth Of Virginia Department Of Behavioral Health And Southern
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386704898
PECOS PAC ID: 3173502713
Enrollment ID: O20040716000396

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. Donovan Deryl 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 AddressPractice Location Address
Donovan Deryl Clark, MD
382 Taylor Dr,
Danville, VA 24541

Ph: (434) 773-4240		Donovan Deryl Clark, MD
382 Taylor Dr,
Danville, VA 24541

Ph: (434) 773-4240

Reviews and Comments


Psychiatry & Neurology Doctors in Danville, VA

Renuka N Prasad, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 212 S Main St, Suite 3, Danville, VA 24541
Phone: 434-799-9020    Fax: 434-799-3451
Suresh M Patel, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 382 Taylor Dr, Southern Virginia Mental Health Institute, Danville, VA 24541
Phone: 434-799-6220    Fax: 434-773-4241
Mikhail O. Chizhikov, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 291 Park Ave, Danville, VA 24541
Phone: 434-799-3310    Fax: 434-799-3317
Dr. John Andrew Gergen, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 245 Hairston St, Danville, VA 24540
Phone: 434-799-0456    Fax: 434-791-2644
Dr. William Thomas Trost, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 159 Deer Run Rd, Danville, VA 24540
Phone: 434-791-4685    Fax: 434-791-4748
James Stanley Burgbacher, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 990 Main St, Ste. 201, Danville, VA 24541
Phone: 434-799-3037    Fax: 434-793-0116

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.