Dr Christopher E Clark, DO - Medicare General Surgery in Lucedale, MS

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Dr Christopher E Clark, DO is a medicare enrolled "Surgery" physician in Lucedale, Mississippi. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2008 and has 17 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice The Health Care Authority Of The City Of Eufaula and his current practice location is 57 Dewey St, Lucedale, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 766-0308.

Dr Christopher E Clark is licensed to practice in North Carolina (license number 2016-00328) 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 1962704999.

Contact Information

Dr Christopher E Clark, DO
57 Dewey St,
Lucedale, MS 39452-5707
(601) 766-0308
(601) 766-0309

Map and Direction




Physician's Profile

Full NameDr Christopher E Clark
GenderMale
SpecialityGeneral Surgery
Experience17 Years
Location57 Dewey St, Lucedale, Mississippi
Accepts Medicare AssignmentsYes. 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 Christopher E Clark attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2008
  NPI Data:
  • NPI Number: 1962704999
  • Provider Enumeration Date: 11/23/2010
  • Last Update Date: 02/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052582939
  • Enrollment ID: I20130813000810

Medical Identifiers

Medical identifiers for Dr Christopher E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962704999NPI-NPPES
909150OtherMSMEDICARE
05788788MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2016-00328 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southeast Alabama Medical CenterDothan, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Health Care Authority Of The City Of Eufaula93354076599

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 Christopher E Clark allows following entities to bill medicare on his behalf.
Entity NameThe Health Care Authority Of The City Of Eufaula
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730692641
PECOS PAC ID: 9335407659
Enrollment ID: O20180619000582
Entity NameEss Of Luverne Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457953473
PECOS PAC ID: 0345653622
Enrollment ID: O20210105001927
Entity NameSycamore Physicians Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1780372557
PECOS PAC ID: 9032573902
Enrollment ID: O20230911002503
Entity NameNewgen Alabama Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013744424
PECOS PAC ID: 9133657208
Enrollment ID: O20250116003745

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 Christopher E 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 Christopher E Clark, DO
Po Box 1007,
Lucedale, MS 39452-1007

Ph: (601) 766-0308		Dr Christopher E Clark, DO
57 Dewey St,
Lucedale, MS 39452-5707

Ph: (601) 766-0308

Reviews and Comments


Surgery Doctors in Lucedale, MS

Declan F Hegarty, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 57 Dewey St, Lucedale, MS 39452
Phone: 601-766-0308    Fax: 601-766-0309
Dr. Jennifer Linn Wentzel, M.D., M.S.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 57 Ratliff St, Lucedale, MS 39452
Phone: 601-766-0308    Fax: 601-766-0309
Dr. Spencer Daniel Richardson, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 57 Ratliff St, Lucedale, MS 39452
Phone: 601-766-0308    

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.