Dr Leon Gordon Clark Jr, MD - Medicare Dermatology in Rancho Mirage, CA

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Dr Leon Gordon Clark Jr, MD is a medicare enrolled "Dermatology" physician in Rancho Mirage, California. He went to Mayo Medical School and graduated in 2016 and has 9 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Alameda Health System, Sutter Valley Medical Foundation and his current practice location is 39000 Bob Hope Dr, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at (760) 340-8248.

Dr Leon Gordon Clark Jr is licensed to practice in California (license number A153921) 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 1487004370.

Contact Information

Dr Leon Gordon Clark Jr, MD
39000 Bob Hope Dr,
Rancho Mirage, CA 92270-3221
(760) 340-8248
Not Available

Map and Direction




Physician's Profile

Full NameDr Leon Gordon Clark Jr
GenderMale
SpecialityDermatology
Experience9 Years
Location39000 Bob Hope Dr, Rancho Mirage, California
Accepts Medicare AssignmentsYes. 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 Leon Gordon Clark Jr attended and graduated from Mayo Medical School in 2016
  NPI Data:
  • NPI Number: 1487004370
  • Provider Enumeration Date: 06/21/2016
  • Last Update Date: 10/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1759644339
  • Enrollment ID: I20200922002502

Medical Identifiers

Medical identifiers for Dr Leon Gordon Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487004370NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology A153921 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Highland HospitalOakland, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alameda Health System3779494521531
Sutter Valley Medical Foundation98300945152136

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 Leon Gordon Clark Jr allows following entities to bill medicare on his behalf.
Entity NameAlameda Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740332931
PECOS PAC ID: 3779494521
Enrollment ID: O20031110000764
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameUniversity Of California Sfgh Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164497285
PECOS PAC ID: 5496668410
Enrollment ID: O20041015000522
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

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 Leon Gordon Clark Jr 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 AddressPractice Location Address
Dr Leon Gordon Clark Jr, MD
39000 Bob Hope Dr,
Rancho Mirage, CA 92270-3221

Ph: (760) 340-8248		Dr Leon Gordon Clark Jr, MD
39000 Bob Hope Dr,
Rancho Mirage, CA 92270-3221

Ph: (760) 340-8248

Reviews and Comments


Dermatology Doctors in Rancho Mirage, CA

Dr. David Martin Morrow, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 69780 Stellar Dr, Rancho Mirage, CA 92270
Phone: 760-202-2770    Fax: 760-202-4676
Dr. Timothy Mark Jochen, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 42600 Mirage Rd, Bldg A1, Rancho Mirage, CA 92270
Phone: 760-416-6971    Fax: 760-318-8103
Christian Jordan, M.D., PH.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 42600 Mirage Rd, Rancho Mirage, CA 92270
Phone: 760-423-4000    
Dr. Keyan Matinpour, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270
Phone: 760-837-8542    Fax: 760-837-8543
Carrie Davidson, PA
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 35200 Bob Hope Dr, Rancho Mirage, CA 92270
Phone: 760-328-8884    
Dr. Wendy Eileen Roberts, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 39700 Bob Hope Dr, Suite 115, Rancho Mirage, CA 92270
Phone: 760-346-4262    Fax: 760-340-9892

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.