Dr James W Clark, MD in Eagan, MN

Dr James W Clark, MD is a medicare enrolled "Pediatrics" physician in Eagan, Minnesota. His current practice location is 1885 Plaza Dr, Eagan, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-4001.

Dr James W Clark is licensed to practice in Minnesota (license number 26114) 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 1306824255.

Contact Information

	Dr James W Clark, MD
	1885 Plaza Dr, Eagan, MN 55122-2612
	(952) 993-4001
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr James W Clark
Gender	Male
Speciality	Pediatrics
Location	1885 Plaza Dr, Eagan, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306824255
Provider Enumeration Date: 01/01/2006
Last Update Date: 03/01/2012

Medicare PECOS Information:

PECOS PAC ID: 4183894868
Enrollment ID: I20110907001450

Medical Identifiers

Medical identifiers for Dr James W Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306824255	NPI	-	NPPES
444703400	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	26114 (Minnesota)	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 James W Clark allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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 James W 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 James W Clark, MD 3800 Park Nicollet Blvd, Credentialing, St Louis Park, MN 55416-2527 Ph: () -	Dr James W Clark, MD 1885 Plaza Dr, Eagan, MN 55122-2612 Ph: (952) 993-4001

Reviews and Comments

Pediatrics Doctors in Eagan, MN

Christine Marie Schmitz, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121 Phone: 651-406-8860
Barbara Jean Bittner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970
Christina Tove Dunn, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121 Phone: 651-406-8860
Ann Marie Ferguson, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121 Phone: 651-406-8860
Deirdre Milligan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3305 Central Park Village Dr, Eagan, MN 55121 Phone: 651-406-8860
Eleanor-irene B Bucu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121 Phone: 651-454-3970

Dr James W Clark, MD - Medicare Pediatrics in Eagan, MN