Dr Cullen J Clark, - Medicare Emergency Medicine in Columbus, OH

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Dr Cullen J Clark, is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Columbus, Ohio. He went to University Of Louisville School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Osu Emergency Medicine Llc and his current practice location is 700 Childrens Dr, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 722-2000.

Dr Cullen J Clark is licensed to practice in Ohio (license number 35-138842) 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 1114314267.

Contact Information

Dr Cullen J Clark,
700 Childrens Dr,
Columbus, OH 43205-2664
(614) 722-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Cullen J Clark
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location700 Childrens Dr, Columbus, Ohio
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 Cullen J Clark attended and graduated from University Of Louisville School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1114314267
  • Provider Enumeration Date: 04/15/2015
  • Last Update Date: 02/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9830490051
  • Enrollment ID: I20200526003137

Medical Identifiers

Medical identifiers for Dr Cullen J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114314267NPI-NPPES
0393860MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0204XPediatrics - Pediatric Emergency Medicine 35-138842 (Ohio)Primary
207P00000XEmergency Medicine 35-138842 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohio State University State Health SystemColumbus, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osu Emergency Medicine Llc2668386673167

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 Cullen J Clark allows following entities to bill medicare on his behalf.
Entity NameOsu Emergency Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699705681
PECOS PAC ID: 2668386673
Enrollment ID: O20031114000120
Entity NamePediatric Academic Association, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063419943
PECOS PAC ID: 2961306774
Enrollment ID: O20031124000198
Entity NameOsu Observation Medicine, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407095052
PECOS PAC ID: 3375692270
Enrollment ID: O20090526000354
Entity NameNationwide Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851179873
PECOS PAC ID: 0042385064
Enrollment ID: O20240214002279

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 Cullen J 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 Cullen J Clark,
700 Childrens Dr,
Columbus, OH 43205-2664

Ph: (614) 722-2000		Dr Cullen J Clark,
700 Childrens Dr,
Columbus, OH 43205-2664

Ph: (614) 722-2000

Reviews and Comments


Pediatrics Doctors in Columbus, OH

Amrik Singh Khalsa, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 700 Childrens Dr, Columbus, OH 43205
Phone: 614-722-2000    Fax: 614-722-4966
Sara Foley Schroder, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2857 W Broad St, Columbus, OH 43204
Phone: 614-722-6200    
Mr. Christopher Jones, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 700 Childrens Dr, Columbus, OH 43205
Phone: 614-722-2000    
Claire Elizabeth Christian, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 700 Childrens Dr, Columbus, OH 43205
Phone: 614-722-2000    
Valentina Gutierrez, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 80 E Rich St Apt 819, Columbus, OH 43215
Phone: 380-242-1699    
Logan Neely,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 700 Childrens Dr, Columbus, OH 43205
Phone: 614-772-4419    
Leif Daniel Nelin, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 700 Childrens Dr, Columbus, OH 43205
Phone: 614-722-4559    Fax: 614-722-4541

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.