Dr Chris Allen Clark, MD - Medicare Pathology in Cartersville, GA

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Dr Chris Allen Clark, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Cartersville, Georgia. His current practice location is 960 Joe Frank Harris Pkwy Se, Cartersville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 382-1530.

Dr Chris Allen Clark is licensed to practice in Georgia (license number 039072) 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 1689634362.

Contact Information

Dr Chris Allen Clark, MD
960 Joe Frank Harris Pkwy Se,
Cartersville, GA 30120-2129
(770) 382-1530
(770) 387-8198

Map and Direction




Physician's Profile

Full NameDr Chris Allen Clark
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location960 Joe Frank Harris Pkwy Se, Cartersville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689634362
  • Provider Enumeration Date: 03/25/2006
  • Last Update Date: 02/21/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0446273395
  • Enrollment ID: I20060106000383

Medical Identifiers

Medical identifiers for Dr Chris Allen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689634362NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 039072 (Georgia)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 Chris Allen Clark allows following entities to bill medicare on his behalf.
Entity NameEtowah Pathology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134189491
PECOS PAC ID: 4789671025
Enrollment ID: O20040428000709

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 Chris Allen 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 Chris Allen Clark, MD
Po Box 30309,
Charleston, SC 29417-0309

Ph: (843) 554-9300		Dr Chris Allen Clark, MD
960 Joe Frank Harris Pkwy Se,
Cartersville, GA 30120-2129

Ph: (770) 382-1530

Reviews and Comments


Pathology Doctors in Cartersville, GA

Dr. Dan Wiener, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120
Phone: 770-382-1530    Fax: 770-387-8198
Dr. David Grant Lovell, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120
Phone: 770-382-1530    Fax: 770-387-8198

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.