Dr David W Clark, MD in Overland Park, KS - Medicare Emergency Medicine

Dr David W Clark, MD is a medicare enrolled "Emergency Medicine" physician in Overland Park, Kansas. His current practice location is 12300 Metcalf Ave, Overland Park, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 317-7485.

Dr David W Clark is licensed to practice in Kansas (license number 04-27540) 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 1265433940.

Contact Information

	Dr David W Clark, MD
	12300 Metcalf Ave, Overland Park, KS 66213-1324
	(913) 317-7485
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr David W Clark
Gender	Male
Speciality	Emergency Medicine
Location	12300 Metcalf Ave, Overland Park, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265433940
Provider Enumeration Date: 08/03/2005
Last Update Date: 07/14/2008

Medicare PECOS Information:

PECOS PAC ID: 6608832142
Enrollment ID: I20230123002321

Medical Identifiers

Medical identifiers for Dr David W Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265433940	NPI	-	NPPES
208678029	Medicaid	MO
100317940C	Medicaid	KS
25062077	Other	MO	BCBS KC MO
01674018	Other	KS	BCBS OF KC MO GROUP ID #
25062057	Other	MO	BCBS OF KC MO
930066218	Other		RR MEDICARE GROUP CG8899
P00188856	Other		RR MEDICARE GROUP DC6712
100317940A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	04-27540 (Kansas)	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 David W Clark allows following entities to bill medicare on his behalf.

Entity Name	Progressive Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548218613 PECOS PAC ID: 7113829599 Enrollment ID: O20040308001331

Entity Name	Sound Physicians Emergency Medicine Of Arizona Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700328663 PECOS PAC ID: 5799066650 Enrollment ID: O20170109000725

Entity Name	Northwest Hbp Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756

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 David W 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 Address	Practice Location Address
Dr David W Clark, MD Po Box 411039, Kansas City, MO 64141-1039 Ph: (913) 234-1350	Dr David W Clark, MD 12300 Metcalf Ave, Overland Park, KS 66213-1324 Ph: (913) 317-7485

Reviews and Comments

Emergency Medicine Doctors in Overland Park, KS

Dr. Martha Sue Fanning, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Overland Park, KS 66213 Phone: 913-317-7485
Patricia D Logan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5721 W 119th St, Emergency Department, Overland Park, KS 66209 Phone: 913-469-1488 Fax: 913-469-1441
Jonathan S. Finks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12541 Foster St Ste 300, Overland Park, KS 66213 Phone: 913-317-3200 Fax: 913-317-3218
Dr. Brian Lee Freeman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12300 Metcalf Ave, Overland Park, KS 66213 Phone: 913-484-0772
Dr. Bradley Chapman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10500 Quivira Rd, Overland Park, KS 66215 Phone: 913-541-5000
Kelli M Craven, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10500 Quivira Rd, Emergency Department, Overland Park, KS 66215 Phone: 913-469-4244 Fax: 913-469-1939
Dr. Charles L Gerwick, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12300 Metcalf Ave, Overland Park, KS 66213 Phone: 913-317-7485

Dr David W Clark, MD - Medicare Emergency Medicine in Overland Park, KS