Dr Douglas Owen Clark, MD - Medicare Obstetrics & Gynecology in Brookfield, WI

Dr Douglas Owen Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Brookfield, Wisconsin. His current practice location is 21010 Black Walnut Ln, A, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 780-0594.

Dr Douglas Owen Clark is licensed to practice in Wisconsin (license number 16533) 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 1821308974.

Contact Information

Dr Douglas Owen Clark, MD
21010 Black Walnut Ln, A,
Brookfield, WI 53045-4062
(262) 780-0594
Not Available

Map and Direction




Physician's Profile

Full NameDr Douglas Owen Clark
GenderMale
SpecialityObstetrics & Gynecology
Location21010 Black Walnut Ln, Brookfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1821308974
  • Provider Enumeration Date: 10/07/2010
  • Last Update Date: 05/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3476465022
  • Enrollment ID: I20160520001751

Medical Identifiers

Medical identifiers for Dr Douglas Owen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821308974NPI-NPPES
NONEOtherWINONE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 16533 (Wisconsin)Primary

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 Douglas Owen 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 Douglas Owen Clark, MD
2418 E Bluejay Bluff Ln, A,
Green Valley, AZ 85614-5568

Ph: (414) 791-6184
Dr Douglas Owen Clark, MD
21010 Black Walnut Ln, A,
Brookfield, WI 53045-4062

Ph: (262) 780-0594

Reviews and Comments


Obstetrics & Gynecology Doctors in Brookfield, WI

Dr. Albert David Penney, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 17280 W North Ave, Suite 200, Brookfield, WI 53045
Phone: 262-754-8000    Fax: 262-754-8008
Patricia Mary Barwig, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 19475 W North Ave, Ste 400, Brookfield, WI 53045
Phone: 262-780-4000    Fax: 262-780-4090
Roseann Gumina, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 17280 W North Ave, Suite 200, Brookfield, WI 53045
Phone: 262-754-8000    Fax: 262-754-8008
Dr. Robert Stephen Pavlic, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 15800 Sky Cliff Dr, Brookfield, WI 53005
Phone: 262-781-3322    
Dr. James Andrew Stadler Ii, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 17000 W North Ave, Brookfield, WI 53005
Phone: 262-786-6420    Fax: 262-786-1341
Dr. Anthony Hoang, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 21700 Intertech Dr, Springdale Health Center, Brookfield, WI 53045
Phone: 262-532-8300    Fax: 262-532-8600
Joseph Herzog, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 17280 W North Ave, Suite 200, Brookfield, WI 53045
Phone: 262-754-8000    Fax: 262-754-8008

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.