Dr Dwayne Charles Clark, MD - Medicare in N Fond Du Lac, WI

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Dr Dwayne Charles Clark, MD is a medicare enrolled "Family Medicine" physician in N Fond Du Lac, Wisconsin. His current practice location is 723 Park Ridge Ln, N Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8600.

Dr Dwayne Charles Clark is licensed to practice in Wisconsin (license number 48855) 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 1184695975.

Contact Information

Dr Dwayne Charles Clark, MD
723 Park Ridge Ln,
N Fond Du Lac, WI 54937-1385
(920) 926-8600
(920) 926-8650

Map and Direction




Physician's Profile

Full NameDr Dwayne Charles Clark
GenderMale
Speciality
Experience Years
Location723 Park Ridge Ln, N Fond Du Lac, Wisconsin
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 Dwayne Charles Clark attended and graduated from in
  NPI Data:
  • NPI Number: 1184695975
  • Provider Enumeration Date: 01/30/2006
  • Last Update Date: 10/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Dwayne Charles Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184695975NPI-NPPES
P00319962OtherWIRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 48855 (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 Dwayne Charles 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 Dwayne Charles Clark, MD
420 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-8340		Dr Dwayne Charles Clark, MD
723 Park Ridge Ln,
N Fond Du Lac, WI 54937-1385

Ph: (920) 926-8600

Reviews and Comments


Family Medicine Doctors in N Fond Du Lac, WI

Dr. Kumi D Swart, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 723 Park Ridge Ln, N Fond Du Lac, WI 54937
Phone: 920-926-8600    Fax: 920-926-8650
Daniel R Johnson, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 723 Park Ridge Lane, N Fond Du Lac, WI 54937
Phone: 920-926-8600    Fax: 920-926-8650

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.