| Dr James M Clark, MD | |
|
1001 E 2nd St Ste N, Coudersport, PA 16915-8161 | |
| (814) 274-7101 | |
| Not Available |
| Full Name | Dr James M Clark |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 19 Years |
| Location | 1001 E 2nd St Ste N, Coudersport, Pennsylvania |
| 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 |
|---|---|---|---|
| 1811101231 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME106885 (Florida) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD446841 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Smh Physician Services Inc | 1355240177 | 665 |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Entity Name | Dhp Of Manatee Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134771611 PECOS PAC ID: 5799016846 Enrollment ID: O20191004000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James M Clark, MD 1001 E 2nd St Ste N, Coudersport, PA 16915-8161 Ph: (814) 274-7101 | Dr James M Clark, MD 1001 E 2nd St Ste N, Coudersport, PA 16915-8161 Ph: (814) 274-7101 |
Dr. Celso Luiz Backes, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-7101 Fax: 814-274-3251 | |
Dr. Mazen Rafic Fouany, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-7101 Fax: 814-274-3251 | |
Dr. Ethan Gable, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1001 E 2nd St Ste N, Coudersport, PA 16915 Phone: 814-274-7101 |