Dr Bhavishya Surapaneni Clark, MD - Medicare Pain Management in San Luis Obispo, CA

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Dr Bhavishya Surapaneni Clark, MD is a medicare enrolled "Otolaryngology" physician in San Luis Obispo, California. She went to New York Medical College and graduated in 2016 and has 9 years of diverse experience with area of expertise as Pain Management. She is a member of the group practice Adventist Health Physicians Network and her current practice location is 35 Casa St Ste 130, San Luis Obispo, California. You can reach out to her office (for appointments etc.) via phone at (805) 541-1422.

Dr Bhavishya Surapaneni Clark is licensed to practice in California (license number 155364) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144677691.

Contact Information

Dr Bhavishya Surapaneni Clark, MD
35 Casa St Ste 130,
San Luis Obispo, CA 93405-1887
(805) 541-1422
(805) 541-1215

Map and Direction




Physician's Profile

Full NameDr Bhavishya Surapaneni Clark
GenderFemale
SpecialityPain Management
Experience9 Years
Location35 Casa St Ste 130, San Luis Obispo, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Bhavishya Surapaneni Clark attended and graduated from New York Medical College in 2016
  NPI Data:
  • NPI Number: 1144677691
  • Provider Enumeration Date: 05/14/2016
  • Last Update Date: 10/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022366368
  • Enrollment ID: I20210721002212

Medical Identifiers

Medical identifiers for Dr Bhavishya Surapaneni Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144677691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 155364 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sierra Vista Regional Medical CenterSan luis obispo, CAHospital
French Hospital Medical CenterSan luis obispo, CAHospital
Marian Regional Medical CenterSanta maria, CAHospital
Twin Cities Community HospitalTempleton, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adventist Health Physicians Network3274580972572

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. Dr Bhavishya Surapaneni Clark allows following entities to bill medicare on her behalf.
Entity NameAdventist Health Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063718583
PECOS PAC ID: 3274580972
Enrollment ID: O20050407000633
Entity NameFirst Choice Physician Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104183052
PECOS PAC ID: 0941465322
Enrollment ID: O20120710000480

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. Dr Bhavishya Surapaneni 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
Dr Bhavishya Surapaneni Clark, MD
35 Casa St Ste 130,
San Luis Obispo, CA 93405-1887

Ph: (805) 541-1422		Dr Bhavishya Surapaneni Clark, MD
35 Casa St Ste 130,
San Luis Obispo, CA 93405-1887

Ph: (805) 541-1422

Reviews and Comments


Otolaryngology Doctors in San Luis Obispo, CA

Dr. William J. Watson, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1035 Peach St, Suite 301, San Luis Obispo, CA 93401
Phone: 805-545-5665    Fax: 805-544-6477
Dr. Robert G Stewart,
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 895 Aerovista Pl, 103, San Luis Obispo, CA 93401
Phone: 805-541-2368    
Jackson Randolph, MD
Otolaryngology
Medicare: May Accept Medicare Assignments
Practice Location: 35 Casa St Ste 130, San Luis Obispo, CA 93405
Phone: 805-541-1422    
Dr. Michael J Malotte,
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 895 Aerovista Pl, 103, San Luis Obispo, CA 93401
Phone: 805-541-2368    
David Jackson Levin, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 100 Casa St Ste B, San Luis Obispo, CA 93405
Phone: 805-439-3250    Fax: 888-359-6565

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.