Dr Chad Leroy Clark, MD - Medicare Emergency Medicine in Riverside, CA

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Dr Chad Leroy Clark, MD is a medicare enrolled "Emergency Medicine" physician in Riverside, California. His current practice location is 3865 Jackson St, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 352-5666.

Dr Chad Leroy Clark is licensed to practice in California (license number A70662) 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 1023052545.

Contact Information

Dr Chad Leroy Clark, MD
3865 Jackson St,
Riverside, CA 92503-3919
(951) 352-5666
(951) 352-5445

Map and Direction




Physician's Profile

Full NameDr Chad Leroy Clark
GenderMale
SpecialityEmergency Medicine
Location3865 Jackson St, Riverside, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023052545
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 06/13/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6901884592
  • Enrollment ID: I20040709001264

Medical Identifiers

Medical identifiers for Dr Chad Leroy Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023052545NPI-NPPES
00A706620MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A70662 (California)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. Dr Chad Leroy Clark allows following entities to bill medicare on his behalf.
Entity NameRiverside Emergency Physicians Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972539039
PECOS PAC ID: 0547173882
Enrollment ID: O20040729001307
Entity NameCulver Emergency Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699907923
PECOS PAC ID: 0244378677
Enrollment ID: O20091105000182
Entity NameAnaheim Emergency Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114626017
PECOS PAC ID: 9133585029
Enrollment ID: O20230518003235

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 Chad Leroy 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 Chad Leroy Clark, MD
Po Box 661987,
Arcadia, CA 91066-1987

Ph: (626) 447-0296		Dr Chad Leroy Clark, MD
3865 Jackson St,
Riverside, CA 92503-3919

Ph: (951) 352-5666

Reviews and Comments


Emergency Medicine Doctors in Riverside, CA

Rushil Anil Patel,
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Phone: 951-788-3000    
Dr. David Stuart Siegel, MD
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Practice Location: 3425 Torrey St, Riverside, CA 92503
Phone: 561-685-6148    
Doug John Williamson, MD
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Practice Location: 10800 Magnolia Ave, Riverside, CA 92505
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Kenneth Johnson, MD
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Practice Location: 4445 Magnolia Ave, Riverside, CA 92501
Phone: 951-788-3537    Fax: 951-788-3173
Dr. Ernest Woodhouse, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 4440 Magnolia Ave., Riverside, CA 92501
Phone: 951-788-3200    
Dr. Michael Kang, M.D.
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Medicare: Medicare Enrolled
Practice Location: 4445 Magnolia Ave, Riverside, CA 92501
Phone: 951-684-3910    

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.