Dr Kirby P Clark, MD in Waterloo, IA - Medicare Diagnostic Radiology

Dr Kirby P Clark, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Waterloo, Iowa. He went to University Of Michigan Medical School and graduated in 1995 and has 29 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Cedar Valley Medical Specialists Pc and his current practice location is 4006 Johnathan St, Waterloo, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 236-2700.

Dr Kirby P Clark is licensed to practice in Iowa (license number 35956) 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 1407893795.

Contact Information

	Dr Kirby P Clark, MD
	4006 Johnathan St, Waterloo, IA 50701-9387
	(319) 236-2700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kirby P Clark
Gender	Male
Speciality	Diagnostic Radiology
Experience	29 Years
Location	4006 Johnathan St, Waterloo, Iowa
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kirby P Clark attended and graduated from University Of Michigan Medical School in 1995

NPI Data:

NPI Number: 1407893795
Provider Enumeration Date: 06/02/2006
Last Update Date: 11/21/2023

Medicare PECOS Information:

PECOS PAC ID: 4082688114
Enrollment ID: I20091203000719

Medical Identifiers

Medical identifiers for Dr Kirby P Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407893795	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	42049-20 (Wisconsin)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	036126457 (Illinois)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	35956 (Iowa)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cedar Valley Medical Specialists Pc	1759291487	100

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 Kirby P Clark allows following entities to bill medicare on his behalf.

Entity Name	Cedar Valley Medical Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462

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 Kirby P 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 Kirby P Clark, MD Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-5390	Dr Kirby P Clark, MD 4006 Johnathan St, Waterloo, IA 50701-9387 Ph: (319) 236-2700

Reviews and Comments

Radiology Doctors in Waterloo, IA

James Vincent Connell Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3716 Fax: 319-233-1630
Vandana Jain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807
Greg Evan Raecker, DO Radiology Medicare: Medicare Enrolled Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003
Cassandra S Foens, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807
Lawrence Arthur Liebscher, MD Radiology Medicare: Medicare Enrolled Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003
Wayne Leroy Ventling Ii, DO Radiology Medicare: Medicare Enrolled Practice Location: 4150 Kimball Avenue, Waterloo, IA 50701 Phone: 219-235-5390 Fax: 319-233-1630
Stephen Dale Frazier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3716 Fax: 319-233-1630

Dr Kirby P Clark, MD - Medicare Diagnostic Radiology in Waterloo, IA