| Dr Edgar H Clark, MD | |
|
6585 Clark Rd, Suite 360, Paradise, CA 95969-3500 | |
| (530) 877-8855 | |
| Not Available |
| Full Name | Dr Edgar H Clark |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 49 Years |
| Location | 6585 Clark Rd, Paradise, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003847872 | NPI | - | NPPES |
| ZZZ01920Z | Other | CA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G34799 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaweah Delta Medical Center | Visalia, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Visalia Family Practice Medical Group | 9830139179 | 6 |
| Entity Name | Visalia Family Practice Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073681730 PECOS PAC ID: 9830139179 Enrollment ID: O20050505001220 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edgar H Clark, MD 7056b Skyway, Paradise, CA 95969-3900 Ph: (530) 872-6650 | Dr Edgar H Clark, MD 6585 Clark Rd, Suite 360, Paradise, CA 95969-3500 Ph: (530) 877-8855 |
Dr. Richard B Turner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6470 Pentz Rd, Paradise, CA 95969 Phone: 530-877-4911 Fax: 530-877-2171 | |
Ms. Sukhdeep Kaur, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyway, Paradise, CA 95969 Phone: 530-872-2000 Fax: 530-876-2586 | |
Mr. Suk Chun Lee, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 7321 Skyway, Paradise, CA 95969 Phone: 530-876-8120 | |
Dwight Larry Miller, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6585 Clark Rd, Suite 440, Paradise, CA 95969 Phone: 530-877-4465 Fax: 530-877-1034 | |
Lynne Pappas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyway, Paradise, CA 95969 Phone: 530-876-2537 Fax: 530-876-2585 | |
Donald T Smith, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5974 Pentz Rd, Paradise, CA 95969 Phone: 530-877-4649 |