Dr Carlos Stanford Clark Ii, MD - Medicare Family Practice in Dothan, AL

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Dr Carlos Stanford Clark Ii, MD is a medicare enrolled "Family Medicine" physician in Dothan, Alabama. He graduated from medical school in 2010 and has 15 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern Clinic Pc and his current practice location is 201 Doctors Drive, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 794-6612.

Dr Carlos Stanford Clark Ii is licensed to practice in Alabama (license number MD.32611) 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 1063851277.

Contact Information

Dr Carlos Stanford Clark Ii, MD
201 Doctors Drive,
Dothan, AL 36301
(334) 794-6612
(334) 794-6614

Map and Direction




Physician's Profile

Full NameDr Carlos Stanford Clark Ii
GenderMale
SpecialityFamily Practice
Experience15 Years
Location201 Doctors Drive, Dothan, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carlos Stanford Clark Ii graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1063851277
  • Provider Enumeration Date: 06/20/2013
  • Last Update Date: 08/18/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3476796277
  • Enrollment ID: I20150406000624

Medical Identifiers

Medical identifiers for Dr Carlos Stanford Clark Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063851277NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD.32611 (Alabama)Primary
207Q00000XFamily Medicine ME116951 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Dayspring Hospice, LlcEnterprise, ALHospice
Gentiva Hospice - DothanDothan, ALHospice
First Choice HospiceElba, ALHospice
Southerncare GreenvilleGreenville, ALHospice
Medical Center EnterpriseEnterprise, ALHospital
Dale Medical CenterOzark, ALHospital
Southeast Alabama Medical CenterDothan, ALHospital
Crowne Health Care Of EufaulaEufaula, ALNursing home
Oakview Manor Health Care CenterOzark, ALNursing home
Ozark Health And Rehabilitation, LlcOzark, ALNursing home
Hartford Health CareHartford, ALNursing home
Enterprise Health & Rehabilitation CenterEnterprise, ALNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Clinic Pc135532926916

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 Carlos Stanford Clark Ii allows following entities to bill medicare on his behalf.
Entity NameSouthern Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053410480
PECOS PAC ID: 1355329269
Enrollment ID: O20110627000171

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 Carlos Stanford Clark Ii 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 Carlos Stanford Clark Ii, MD
201 Doctors Drive,
Dothan, AL 36301

Ph: (334) 794-6612		Dr Carlos Stanford Clark Ii, MD
201 Doctors Drive,
Dothan, AL 36301

Ph: (334) 794-6612

Reviews and Comments


Family Medicine Doctors in Dothan, AL

Gaynel Barry Taylor, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1206 Columbia Hwy, Dothan, AL 36301
Phone: 334-677-5986    Fax: 334-677-4901
Dr. James R Staheli, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305
Phone: 334-446-0076    Fax: 334-446-0203
Ryan Shingler, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1245 Westgate Pkwy, Dothan, AL 36303
Phone: 334-793-9595    Fax: 334-793-6984
Dr. Jason Alan Zacks, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1920 Fairview Ave, Dothan, AL 36301
Phone: 334-678-1400    Fax: 334-678-1432
Mr. Jackie Steve Sherrer Jr., M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 301 Westgate Pkwy, Dothan, AL 36303
Phone: 334-793-2120    Fax: 334-671-0228
Mrs. Tori Christian Harrison, FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 364 Honeysuckle Rd, Dothan, AL 36305
Phone: 334-794-8656    Fax: 334-702-7047

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.