Dr John Samuel Clarke, MD is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Bullard, Texas. Dr John Samuel Clarke is licensed to practice in Texas (license number G9082) and his current practice location is 119 Lake Bluff Dr, Bullard, Texas. He can be reached at his office (for appointments etc.) via phone at
(903) 825-1981.
NPI number for Dr John Samuel Clarke is 1003811928 and his current mailing address is Po Box 10090, Tyler, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003811928.
Physician's Profile
| Full Name | Dr John Samuel Clarke |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 119 Lake Bluff Dr, Bullard, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003811928
- Provider Enumeration Date: 06/16/2005
- Last Update Date: 08/12/2008
Medical Identifiers
Medical identifiers for Dr John Samuel Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003811928 | NPI | - | NPPES |
| 110348302 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | G9082 (Texas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | G9082 (Texas) | Primary |
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 Samuel Clarke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Samuel Clarke, MD
Po Box 10090,
Tyler, TX 75711-0090
Ph: (903) 825-1981 | Dr John Samuel Clarke, MD
119 Lake Bluff Dr,
Bullard, TX 75757-9740
Ph: (903) 825-1981 |
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