G Renee Thomas-clark, DO - Medicare Psychiatry & Neurology in Erie, PA

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G Renee Thomas-clark, DO is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Erie, Pennsylvania. Her current practice location is 4740 Peach St, Erie, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 454-3174.

G Renee Thomas-clark is licensed to practice in Pennsylvania (license number OS015338) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043362320.

Contact Information

G Renee Thomas-clark, DO
4740 Peach St,
Erie, PA 16509-2008
(814) 454-3174
(814) 616-8002

Map and Direction




Physician's Profile

Full NameG Renee Thomas-clark
GenderFemale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location4740 Peach St, Erie, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043362320
  • Provider Enumeration Date: 01/17/2007
  • Last Update Date: 05/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032249438
  • Enrollment ID: I20110322000579

Medical Identifiers

Medical identifiers for G Renee Thomas-clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043362320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry OS015338 (Pennsylvania)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. G Renee Thomas-clark allows following entities to bill medicare on her behalf.
Entity NameMedical Associates Of Erie
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649205816
PECOS PAC ID: 2769402783
Enrollment ID: O20051205000786
Entity NameMillcreek Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508198748
PECOS PAC ID: 8426020173
Enrollment ID: O20110322000202
Entity NameCorry Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124406376
PECOS PAC ID: 3971581174
Enrollment ID: O20170727002362
Entity NameMillcreek Community Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1568097939
PECOS PAC ID: 8426020173
Enrollment ID: O20200616000936
Entity NameMillcreek Community Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1780219022
PECOS PAC ID: 8426020173
Enrollment ID: O20200617000170
Entity NameMillcreek Community Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1245865815
PECOS PAC ID: 8426020173
Enrollment ID: O20200617000674

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. G Renee Thomas-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
G Renee Thomas-clark, DO
1 Lecom Pl,
Erie, PA 16505-2571

Ph: (814) 868-2529		G Renee Thomas-clark, DO
4740 Peach St,
Erie, PA 16509-2008

Ph: (814) 454-3174

Reviews and Comments


Psychiatry & Neurology Doctors in Erie, PA

Ryan J Lynch, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 5535 Peach St, Erie, PA 16509
Phone: 814-868-3488    Fax: 814-868-3499
Kripa Shankar Singh, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1330 W 26th St, Erie, PA 16508
Phone: 814-459-9300    Fax: 814-454-7780
Sherifia Elaine Heron, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3216 State St, Erie, PA 16508
Phone: 724-437-0729    
Joseph Aaron Holmes, D.O.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 5515 Peach St, Erie, PA 16509
Phone: 181-486-8820    
Dr. Leonard J. Leone, D.O.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2315 Myrtle St Ste L90, Erie, PA 16502
Phone: 814-452-7575    Fax: 814-452-7574
Erica Grazioli, DO
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 120 E 2nd St Third Floor, Erie, PA 16507
Phone: 814-877-8000    Fax: 814-452-2210

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.