Dr Cary Byron Clark, MD is a medicare enrolled "Emergency Medicine" physician in Bluff Dale, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1982 and has 44 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Concord Medical Group Of Texas Pllc and his current practice location is
10901 Bakers Crossing Rd, Bluff Dale, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 823-6866.
Dr Cary Byron Clark is licensed to practice in Texas (license number G3231) 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 1629077987.
Physician's Profile
| Full Name | Dr Cary Byron Clark |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Experience | 44 Years |
|---|
| Location | 10901 Bakers Crossing Rd, Bluff Dale, Texas |
|---|
| 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:
- Dr Cary Byron Clark attended and graduated from University Of Texas Medical Branch At Galveston in 1982
NPI Data:
- NPI Number: 1629077987
- Provider Enumeration Date: 07/19/2005
- Last Update Date: 11/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 1658357520
- Enrollment ID: I20040629001617
Medical Identifiers
Medical identifiers for Dr Cary Byron Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629077987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | G3231 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Concord Medical Group Of Texas Pllc | 7810117223 | 238 |
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 Cary Byron Clark allows following entities to bill medicare on his behalf.
| Entity Name | Texas Medicine Resources, Llp |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1376581900
PECOS PAC ID: 5890688212
Enrollment ID: O20130702000785 |
|---|
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567 |
|---|
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 Cary Byron 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 |
|---|
Dr Cary Byron Clark, MD
10901 Bakers Crossing Rd,
Bluff Dale, TX 76433-5111
Ph: (254) 823-6866 | Dr Cary Byron Clark, MD
10901 Bakers Crossing Rd,
Bluff Dale, TX 76433-5111
Ph: (254) 823-6866 |
Reviews and Comments