Dr John Robert Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sturgis, Michigan. He went to University Of Kentucky College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Community Health Center Of Branch County and his current practice location is
600 S Lakeview St, Suite 207, Sturgis, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 659-4646.
Dr John Robert Clark is licensed to practice in Michigan (license number JC062758) 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 1457353575.
Physician's Profile
| Full Name | Dr John Robert Clark |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 40 Years |
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| Location | 600 S Lakeview St, Sturgis, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr John Robert Clark attended and graduated from University Of Kentucky College Of Medicine in 1984
NPI Data:
- NPI Number: 1457353575
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 07/12/2010
Medicare PECOS Information:
- PECOS PAC ID: 2264342930
- Enrollment ID: I20101208000422
Medical Identifiers
Medical identifiers for Dr John Robert Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457353575 | NPI | - | NPPES |
| 07-30237 | Other | MI | IBA/PHP |
| P89384 | Other | MI | BLUE CARE NETWORK |
| 1607527581 | Other | MI | BLUE CROSS BLUE SHIELD |
| 3044976 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | JC062758 (Michigan) | Primary |
| 207V00000X | Obstetrics & Gynecology | 01044745A (Indiana) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 6766 (North Dakota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Health Center Of Branch County | 9335037514 | 39 |
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 John Robert Clark allows following entities to bill medicare on his behalf.
| Entity Name | Community Health Center Of Branch County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124055009
PECOS PAC ID: 9335037514
Enrollment ID: O20040309000671 |
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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 John Robert 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 John Robert Clark, MD
600 S Lakeview St, Suite 207,
Sturgis, MI 49091-2371
Ph: (269) 659-4646 | Dr John Robert Clark, MD
600 S Lakeview St, Suite 207,
Sturgis, MI 49091-2371
Ph: (269) 659-4646 |
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