Dr Gordon Blake Clark, MD - Medicare Obstetrics/gynecology in Shawnee, KS

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Dr Gordon Blake Clark, MD is a medicare enrolled "Obstetrics & Gynecology - Obesity Medicine" physician in Shawnee, Kansas. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1989 and has 35 years of diverse experience with area of expertise as Obstetrics/gynecology. 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 NameDr Gordon Blake Clark
GenderMale
SpecialityObstetrics/gynecology
Experience35 Years
Location21624 Midland Dr, Shawnee, Kansas
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 Gordon Blake Clark attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1989
  NPI Data:
  • NPI Number: 1417937145
  • Provider Enumeration Date: 01/19/2006
  • Last Update Date: 11/02/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 7618875378
  • Enrollment ID: I20111213000326

Medical Identifiers

Medical identifiers for Dr Gordon Blake Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417937145NPI-NPPES
100305190DMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology KS 04-23518 (Kansas)Secondary
207VB0002XObstetrics & Gynecology - Obesity Medicine 04-23518 (Kansas)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 Gordon Blake Clark allows following entities to bill medicare on his behalf.
Entity NameComprehensive Women's Care, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790852135
PECOS PAC ID: 9436174711
Enrollment ID: O20051006000459

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 AddressPractice 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

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.