| Dr John Douglas Clark, MD | |
|
2030 North Church Place, Spartanburg, SC 29303 | |
| (864) 582-6858 | |
| (864) 585-0999 |
| Full Name | Dr John Douglas Clark |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 40 Years |
| Location | 2030 North Church Place, Spartanburg, South Carolina |
| 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 |
|---|---|---|---|
| 1194798595 | NPI | - | NPPES |
| T36609 | Medicaid | SC | |
| 290011227 | Other | RAILROAD | |
| 290009501 | Other | RAILROAD | |
| 8688 | Other | SC | MBPG'S |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Pelham Medical Center | Greer, SC | Hospital |
| Cherokee Medical Center | Gaffney, SC | Hospital |
| Entity Name | J Douglas Clark Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730229808 PECOS PAC ID: 7315195609 Enrollment ID: O20120911000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Douglas Clark, MD Po Box 4276, Spartanburg, SC 29305 Ph: (864) 582-6858 | Dr John Douglas Clark, MD 2030 North Church Place, Spartanburg, SC 29303 Ph: (864) 582-6858 |
Dr. Tondre Buck, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Adam Evec, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St Ste 500, Spartanburg, SC 29303 Phone: 864-560-4304 Fax: 864-560-4023 | |
Larry E Kibler, M.D. Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 | |
Dr. Vikas Dembla, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-7050 Fax: 864-560-0800 | |
Dr. Andrew Omoit Ekatan, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Suite 401, Spartanburg, SC 29303 Phone: 864-560-6654 Fax: 864-560-7353 | |
Stetson Reed Bickley, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6522 Fax: 888-972-8644 | |
Nalin K Srivastava, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1083 Boiling Springs Rd, Spartanburg, SC 29303 Phone: 864-583-8647 Fax: 864-542-2227 |