Douglas Clark, MD in Durham, NC - Medicare Pediatrics

Douglas Clark, MD is a medicare enrolled "Pediatrics" physician in Durham, North Carolina. His current practice location is 2100 Erwin Rd, Duke Univ Med Center, Durham, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 620-4467.

Douglas Clark is licensed to practice in North Carolina (license number 29465) 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 1710061429.

Contact Information

	Douglas Clark, MD
	2100 Erwin Rd, Duke Univ Med Center, Durham, NC 27710
	(919) 620-4467
	Not Available

Map and Direction

Physician's Profile

Full Name	Douglas Clark
Gender	Male
Speciality	Pediatrics
Location	2100 Erwin Rd, Durham, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710061429
Provider Enumeration Date: 10/25/2006
Last Update Date: 01/29/2013

Medicare PECOS Information:

PECOS PAC ID: 3678600640
Enrollment ID: I20100422000805

Medical Identifiers

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

Identifier	Type	State	Issuer
1710061429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	29465 (North Carolina)	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. Douglas Clark allows following entities to bill medicare on his behalf.

Entity Name	Duke University Affiliated Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316975972 PECOS PAC ID: 3779489588 Enrollment ID: O20031211000642

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. Douglas 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
Douglas Clark, MD Durham Pediatrics, 2609 N Duke St Ste 1000, Durham, NC 27704 Ph: (919) 684-8111	Douglas Clark, MD 2100 Erwin Rd, Duke Univ Med Center, Durham, NC 27710 Ph: (919) 620-4467

Reviews and Comments

Pediatrics Doctors in Durham, NC

Candice Marlow Ray, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111
Vinod Prasad, Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27710 Phone: 919-620-4467
Michelle Bailey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Duke University Medical Ctr, Durham, NC 27710 Phone: 919-620-4467
Naseem Alavian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111
Anna Ruderman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4022 Freedom Lake Dr, Durham, NC 27704 Phone: 919-477-2202
Dr. Vijaya Kumar Konda Reddy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111
May Kuo Slowik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4101 N Roxboro St, Durham, NC 27704 Phone: 919-684-8111

Douglas Clark, MD - Medicare Pediatrics in Durham, NC