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

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Dr Charles Spurgeon Clark Jr, MD is a medicare enrolled "Internal Medicine" physician in New Orleans, Louisiana. His current practice location is 4605 Magazine St, New Orleans, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 842-3000.

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
4605 Magazine St,
New Orleans, LA 70115-1517
(504) 842-3000
Not Available

Map and Direction




Physician's Profile

Full NameDr Charles Spurgeon Clark Jr
GenderMale
SpecialityInternal Medicine
Location4605 Magazine St, New Orleans, Louisiana
Accepts Medicare AssignmentsMedicare 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: 03/11/2026
  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.
IdentifierTypeStateIssuer
1720425416NPI-NPPES
09004327MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal 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 NameSharp Rees-stealy Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285616177
PECOS PAC ID: 8628972759
Enrollment ID: O20031120000996
Entity NameKern County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
4605 Magazine St,
New Orleans, LA 70115-1517

Ph: (504) 842-3000

Reviews and Comments


Internal Medicine Doctors in New Orleans, LA

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Phone: 504-988-7518    Fax: 504-988-8252
Urszula Laszkiewicz Moroz, M.D.
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Phone: 504-568-0811    

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.