Dr Gordon Blake Clark, MD in Shawnee, KS

Dr Gordon Blake Clark, MD is a medicare enrolled "Obstetrics & Gynecology - Obesity Medicine" physician in Shawnee, Kansas. His current practice location is 21624 Midland Dr, Shawnee, Kansas. You can reach out to his office (for appointments etc.) via phone at (913) 643-0075.

Dr Gordon Blake Clark is licensed to practice in Kansas (license number 04-23518) 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 1417937145.

Contact Information

	Dr Gordon Blake Clark, MD
	21624 Midland Dr, Shawnee, KS 66218-9064
	(913) 643-0075
	(913) 643-0077

Map and Direction

Physician's Profile

Full Name	Dr Gordon Blake Clark
Gender	Male
Speciality
Experience	Years
Location	21624 Midland Dr, Shawnee, Kansas
Accepts Medicare Assignments	Yes. 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 Gordon Blake Clark attended and graduated from in

NPI Data:

NPI Number: 1417937145
Provider Enumeration Date: 01/19/2006
Last Update Date: 11/02/2011

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Gordon Blake Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417937145	NPI	-	NPPES
100305190D	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	KS 04-23518 (Kansas)	Secondary
207VB0002X	Obstetrics & Gynecology - Obesity Medicine	04-23518 (Kansas)	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 Gordon Blake 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 Address	Practice Location Address
Dr Gordon Blake Clark, MD 21624 Midland Dr, Shawnee, KS 66218-9064 Ph: (913) 643-0075	Dr Gordon Blake Clark, MD 21624 Midland Dr, Shawnee, KS 66218-9064 Ph: (913) 643-0075

Reviews and Comments

Obstetrics & Gynecology Doctors in Shawnee, KS

Larry Kevin Watts, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6850 Hilltop Rd, Suite 190, Shawnee, KS 66226 Phone: 913-441-4544 Fax: 913-442-8462
Dr. Donald Miller Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 13874 W 58th Pl, Shawnee, KS 66216 Phone: 913-449-4475
Amy Sorrells, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6950 Hilltop Rd, Suite 190, Shawnee, KS 66226 Phone: 913-441-4544
Dr. David B Owens, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6850 Hilltop Rd, Suite 190, Shawnee, KS 66226 Phone: 913-441-4544 Fax: 913-442-8462
Sara Waldo, CPM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4831 Antioch Rd, Shawnee, KS 66203 Phone: 913-735-5259
Dr. Rabiya Suleman, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6850 Hilltop Rd, Suite 190, Shawnee, KS 66226 Phone: 913-441-4544 Fax: 913-442-8462

Dr Gordon Blake Clark, MD - Medicare in Shawnee, KS