Dr Kristin L Clark, MD in Green Bay, WI - Medicare Obstetrics/gynecology

Dr Kristin L Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Green Bay, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Womens Health Specialists Sc and her current practice location is 1821 S Webster Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Dr Kristin L Clark is licensed to practice in Wisconsin (license number 46761-020) 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 1710982756.

Contact Information

	Dr Kristin L Clark, MD
	1821 S Webster Ave, Green Bay, WI 54301-2253
	(920) 496-4700
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kristin L Clark
Gender	Female
Speciality	Obstetrics/gynecology
Experience	26 Years
Location	1821 S Webster Ave, Green Bay, Wisconsin
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 Kristin L Clark attended and graduated from University Of Wisconsin School Of Medicine in 2000

NPI Data:

NPI Number: 1710982756
Provider Enumeration Date: 06/16/2005
Last Update Date: 11/26/2019

Medicare PECOS Information:

PECOS PAC ID: 7517933823
Enrollment ID: I20040908000972

Medical Identifiers

Medical identifiers for Dr Kristin L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710982756	NPI	-	NPPES
34577900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	46761-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Womens Health Specialists Sc	8628044138	23

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 Kristin L Clark allows following entities to bill medicare on her behalf.

Entity Name	Womens Health Specialists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417086216 PECOS PAC ID: 8628044138 Enrollment ID: O20040907000791

Entity Name	Watertown Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114

Entity Name	Obhg Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699273862 PECOS PAC ID: 0840551750 Enrollment ID: O20180309000278

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 Kristin L 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 Kristin L Clark, MD 5485 W Grande Market Dr Ste C, Appleton, WI 54913-8430 Ph: (920) 729-7105	Dr Kristin L Clark, MD 1821 S Webster Ave, Green Bay, WI 54301-2253 Ph: (920) 496-4700

Reviews and Comments

Obstetrics & Gynecology Doctors in Green Bay, WI

Edward G Vogel, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869
Dr. Michael J Brockman, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #420, Green Bay, WI 54308 Phone: 920-288-8400 Fax: 920-288-8461
Dr. John Cornelius Gallagher, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2845 Greenbrier Rd, #480, Green Bay, WI 54308 Phone: 920-288-8400 Fax: 920-288-8463
Michael C O'toole, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2641 Development Drive, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869
Anna Maria Guanzon, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000
Megan E Temp, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2641 Development Dr, Green Bay, WI 54311 Phone: 920-338-6868 Fax: 920-338-6869
Rebecca Caroline Pierson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000

Dr Kristin L Clark, MD - Medicare Obstetrics/gynecology in Green Bay, WI