Dr Katherine A Clark, DO in Beavercreek, OH

Dr Katherine A Clark, DO is a medicare enrolled "Family Medicine" physician in Beavercreek, Ohio. She went to Ohio University, College Of Osteopathic Medicine and graduated in 1988 and has 37 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Alliance Physicians Inc and her current practice location is 4172 Indian Ripple Rd Ste A, Beavercreek, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 431-3779.

Dr Katherine A Clark is licensed to practice in Ohio (license number 34004845) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366424798.

Contact Information

	Dr Katherine A Clark, DO
	4172 Indian Ripple Rd Ste A, Beavercreek, OH 45440-3286
	(937) 431-3779
	(937) 431-3776

Map and Direction

Physician's Profile

Full Name	Dr Katherine A Clark
Gender	Female
Speciality	Family Practice
Experience	37 Years
Location	4172 Indian Ripple Rd Ste A, Beavercreek, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Katherine A Clark attended and graduated from Ohio University, College Of Osteopathic Medicine in 1988

NPI Data:

NPI Number: 1366424798
Provider Enumeration Date: 11/21/2005
Last Update Date: 11/25/2020

Medicare PECOS Information:

PECOS PAC ID: 6002980349
Enrollment ID: I20080804000554

Medical Identifiers

Medical identifiers for Dr Katherine A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366424798	NPI	-	NPPES
0935368	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	34004845 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Grandview And Southview Hospitals	Dayton, OH	Hospital
Kettering Medical Center	Kettering, OH	Hospital
Soin Medical Center	Beaver creek, OH	Hospital
Upper Valley Medical Center	Troy, OH	Hospital
Greene Memorial Hospital	Xenia, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alliance Physicians Inc	0840104360	277

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 Katherine A Clark allows following entities to bill medicare on her behalf.

Entity Name	Alliance Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529

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 Katherine A 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 Katherine A Clark, DO 4172 Indian Ripple Rd Ste A, Beavercreek, OH 45440-3286 Ph: (937) 431-3779	Dr Katherine A Clark, DO 4172 Indian Ripple Rd Ste A, Beavercreek, OH 45440-3286 Ph: (937) 431-3779

Reviews and Comments

Family Medicine Doctors in Beavercreek, OH

Nikhil Tej Kurapati, MD, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200
Dr. Maureen Kennedy Perez, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 N Fairfield Rd., Ste 110, Beavercreek, OH 45432 Phone: 937-426-0106 Fax: 937-426-7153
Theresia Gordnier, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200
Kevin A Carter, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2633 Commons Blvd Ste 110, Beavercreek, OH 45431 Phone: 937-705-6747 Fax: 937-705-6713
Dr. Kate Grayson Meizlish, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 Phone: 937-558-3900 Fax: 937-558-3999
Dr. Gordon S Walbroehl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4172 Indian Ripple Rd, Ste. A, Beavercreek, OH 45440 Phone: 937-431-3779 Fax: 937-431-3776
Dr. Harminder Grewal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200

Dr Katherine A Clark, DO - Medicare Family Practice in Beavercreek, OH