Dr Garrett Clark, DO - Medicare Internal Medicine in Erie, PA

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Dr Garrett Clark, DO is a medicare enrolled "Internal Medicine" physician in Erie, Pennsylvania. His current practice location is 5401 Peach St, Suite 3500, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 868-2179.

Dr Garrett Clark is licensed to practice in Pennsylvania (license number OS014422) 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 1063677524.

Contact Information

Dr Garrett Clark, DO
5401 Peach St, Suite 3500,
Erie, PA 16509-2601
(814) 868-2179
(814) 868-2346

Map and Direction




Physician's Profile

Full NameDr Garrett Clark
GenderMale
SpecialityInternal Medicine
Location5401 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: 1063677524
  • Provider Enumeration Date: 07/24/2008
  • Last Update Date: 03/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2769549831
  • Enrollment ID: I20090318000149

Medical Identifiers

Medical identifiers for Dr Garrett Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063677524NPI-NPPES
1022612880004MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine OS014422 (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. Dr Garrett Clark allows following entities to bill medicare on his behalf.
Entity NameMillcreek Community Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1245865583
PECOS PAC ID: 8426020173
Enrollment ID: O20200618000159

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 Garrett 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 Garrett Clark, DO
1 Lecom Pl,
Erie, PA 16505-2571

Ph: () -		Dr Garrett Clark, DO
5401 Peach St, Suite 3500,
Erie, PA 16509-2601

Ph: (814) 868-2179

Reviews and Comments


Internal Medicine Doctors in Erie, PA

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Dr. Theresa J Fryer, M.D.
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Mohamad Khaled Sabeh, M.D.
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Dr. Edward C Clark, M.D.
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Phone: 814-453-6687    Fax: 814-456-4676
Anne-marie Liszka,
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Phone: 814-833-5381    
Dr. Dennis Michael Unks, M.D.
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Practice Location: 120 E 2nd St Fl 2, Erie, PA 16507
Phone: 814-456-8980    Fax: 814-451-0443

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.