Dr Charles Spurgeon Clark Jr, MD in Metairie, LA

Dr Charles Spurgeon Clark Jr, MD is a medicare enrolled "Internal Medicine" physician in Metairie, Louisiana. His current practice location is 3530 Houma Blvd Ste 300, Metairie, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 264-5142.

Dr Charles Spurgeon Clark Jr is licensed to practice in Louisiana (license number 338282) 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 1720425416.

Contact Information

	Dr Charles Spurgeon Clark Jr, MD
	3530 Houma Blvd Ste 300, Metairie, LA 70006-4203
	(504) 264-5142
	(504) 455-2648

Map and Direction

Physician's Profile

Full Name	Dr Charles Spurgeon Clark Jr
Gender	Male
Speciality	Internal Medicine
Location	3530 Houma Blvd Ste 300, Metairie, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720425416
Provider Enumeration Date: 06/04/2013
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0042434110
Enrollment ID: I20200721000560

Medical Identifiers

Medical identifiers for Dr Charles Spurgeon Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720425416	NPI	-	NPPES
09004327	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	338282 (Louisiana)	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 Charles Spurgeon Clark Jr allows following entities to bill medicare on his behalf.

Entity Name	Sharp Rees-stealy Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996

Entity Name	Kern County Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376623538 PECOS PAC ID: 4688964521 Enrollment ID: O20160915002690

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 Charles Spurgeon Clark Jr 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 Charles Spurgeon Clark Jr, MD 3530 Houma Blvd Ste 300, Metairie, LA 70006-4203 Ph: (504) 264-5142	Dr Charles Spurgeon Clark Jr, MD 3530 Houma Blvd Ste 300, Metairie, LA 70006-4203 Ph: (504) 264-5142

Reviews and Comments

Internal Medicine Doctors in Metairie, LA

Michelle Genet, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 4901 Veterans Memorial Blvd, Metairie, LA 70006 Phone: 504-887-1133 Fax: 504-888-1866
Tammy Harvey, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3321 W Esplanade Ave S, Metairie, LA 70002 Phone: 504-266-2444 Fax: 504-266-2445
Dr. Ashish Udhrain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4204 Houma Blvd, Fl 2, Metairie, LA 70006 Phone: 504-883-2968 Fax: 504-883-2973
Dr. Laura Ellen Trunk, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 Andrews Ave, Metairie, LA 70005 Phone: 504-833-3617 Fax: 904-376-8770
Dr. Chiemezie Onyewuchi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3530 Houma Blvd Ste 300, Metairie, LA 70006 Phone: 504-264-5142 Fax: 504-455-2648
Dr. Lawrence Levy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3800 Houma Blvd, #325, Metairie, LA 70006 Phone: 504-888-7111 Fax: 504-888-6655
Dr. John F Nitsche, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4228 Houma Blvd, Suite 600b, Metairie, LA 70006 Phone: 504-454-2191 Fax: 504-378-1838

Dr Charles Spurgeon Clark Jr, MD - Medicare Internal Medicine in Metairie, LA