Douglas L Clark, MD in Grand Island, NE - Medicare Radiation Oncology

Douglas L Clark, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Grand Island, Nebraska. He went to University Of Washington School Of Medicine and graduated in 1988 and has 37 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Chi Health Clinic Specialty Llc and his current practice location is 2116 W Faidley Ave, Grand Island, Nebraska. You can reach out to his office (for appointments etc.) via phone at (308) 398-5996.

Douglas L Clark is licensed to practice in Nebraska (license number 27361) 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 1801982939.

Contact Information

	Douglas L Clark, MD
	2116 W Faidley Ave, Grand Island, NE 68803-4678
	(308) 398-5996
	(308) 398-5333

Map and Direction

Physician's Profile

Full Name	Douglas L Clark
Gender	Male
Speciality	Radiation Oncology
Experience	37 Years
Location	2116 W Faidley Ave, Grand Island, Nebraska
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:

Douglas L Clark attended and graduated from University Of Washington School Of Medicine in 1988

NPI Data:

NPI Number: 1801982939
Provider Enumeration Date: 10/05/2006
Last Update Date: 09/03/2014

Medicare PECOS Information:

PECOS PAC ID: 9234201831
Enrollment ID: I20131018000763

Medical Identifiers

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

Identifier	Type	State	Issuer
1801982939	NPI	-	NPPES
200134920A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	26077 (Oklahoma)	Secondary
2085R0001X	Radiology - Radiation Oncology	12230 (North Dakota)	Secondary
2085R0001X	Radiology - Radiation Oncology	35899 (Washington)	Secondary
2085R0001X	Radiology - Radiation Oncology	27361 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi Health St. Francis	Grand island, NE	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chi Health Clinic Specialty Llc	4789098443	251

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

Entity Name	Chi Health Clinic Specialty Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492

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 L 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 L Clark, MD 2116 W Faidley Ave, Saint Francis Medical Center, Grand Island, NE 68803-4678 Ph: (308) 398-5996	Douglas L Clark, MD 2116 W Faidley Ave, Grand Island, NE 68803-4678 Ph: (308) 398-5996

Reviews and Comments

Radiology Doctors in Grand Island, NE

Jacob Blaine Fleecs, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408
Dr. Daniel Eugene Novinski, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408
Dr. Stephan Kermit Woodman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-6856 Fax: 308-381-1560
Dr. Max Andrew Stevens, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-6856 Fax: 308-381-1560
Dr. Matthias M Albin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408
Dr. Gerald Dwain Janulewicz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2620 W Faidley Ave, Grand Island, NE 68803 Phone: 308-382-6856 Fax: 308-381-1560
Dr. Cody L Evans, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3610 Richmond Cir Ste 100, Grand Island, NE 68803 Phone: 308-398-6400 Fax: 308-398-6408

Douglas L Clark, MD - Medicare Radiation Oncology in Grand Island, NE