Douglas Kent Clark, MD - Medicare Emergency Medicine in Belfast, ME

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Douglas Kent Clark, MD is a medicare enrolled "Emergency Medicine" physician in Belfast, Maine. His current practice location is 118 Northport Ave, Belfast, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 338-2500.

Douglas Kent Clark is licensed to practice in Maine (license number 015635) 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 1295801496.

Contact Information

Douglas Kent Clark, MD
118 Northport Ave,
Belfast, ME 04915-6009
(207) 338-2500
(207) 338-9380

Map and Direction




Physician's Profile

Full NameDouglas Kent Clark
GenderMale
SpecialityEmergency Medicine
Location118 Northport Ave, Belfast, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295801496
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6608819529
  • Enrollment ID: I20050602000199

Medical Identifiers

Medical identifiers for Douglas Kent Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295801496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 015635 (Maine)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 Kent Clark allows following entities to bill medicare on his behalf.
Entity NameWaldo County General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841397932
PECOS PAC ID: 2163332883
Enrollment ID: O20040428001058
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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 Kent 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
Douglas Kent Clark, MD
118 Northport Ave, P.o. Box 287,
Belfast, ME 04915-6009

Ph: (207) 338-2500		Douglas Kent Clark, MD
118 Northport Ave,
Belfast, ME 04915-6009

Ph: (207) 338-2500

Reviews and Comments


Emergency Medicine Doctors in Belfast, ME

Camille C Canova, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 118 Northport Ave, Belfast, ME 04915
Phone: 207-338-2500    Fax: 207-338-9380
Mr. Elmo Glenn Tucker, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 118 Northport Ave, Belfast, ME 04915
Phone: 207-338-9324    Fax: 207-338-6820
John D Gage, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 118 Northport Ave, Belfast, ME 04915
Phone: 207-338-2500    Fax: 207-338-9380
Linda K Tyer, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 118 Northport Ave, Belfast, ME 04915
Phone: 207-338-2500    Fax: 207-930-2550
Dr. Rishi D Ramkissoon, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 118 Northport Ave, Belfast, ME 04915
Phone: 207-338-2500    Fax: 207-338-9380
Dr. Daniel J Britton, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 118 Northport Ave, Belfast, ME 04915
Phone: 207-505-4123    

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.