Dr Mark A Clemence, MD is a medicare enrolled "Internal Medicine" physician in Hales Corners, Wisconsin. He graduated from medical school in 1986 and has 39 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Ascension Medical Group-southeast Wisconsin Inc and his current practice location is
6080 S 108th St, Hales Corners, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 425-5351.
Dr Mark A Clemence is licensed to practice in Wisconsin (license number 34043) 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 1255324216.
Physician's Profile
| Full Name | Dr Mark A Clemence |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 39 Years |
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| Location | 6080 S 108th St, Hales Corners, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark A Clemence graduated from medical school in 1986
NPI Data:
- NPI Number: 1255324216
- Provider Enumeration Date: 08/25/2005
- Last Update Date: 11/17/2008
Medicare PECOS Information:
- PECOS PAC ID: 0648183335
- Enrollment ID: I20080915000406
Medical Identifiers
Medical identifiers for Dr Mark A Clemence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255324216 | NPI | - | NPPES |
| 045668480 | Other | WI | MEDICARE PTAN |
| 049873840 | Other | WI | MEDICARE PTAN |
| 32081200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 34043 (Wisconsin) | Primary |
| 207RI0200X | Internal Medicine - Infectious Disease | 34043 (Wisconsin) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ascension Medical Group-southeast Wisconsin Inc | 8628980943 | 505 |
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 Mark A Clemence allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421 |
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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 Mark A Clemence 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 |
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Dr Mark A Clemence, MD
Po Box 689711,
Milwaukee, WI 53268-9711
Ph: (414) 456-3100 | Dr Mark A Clemence, MD
6080 S 108th St,
Hales Corners, WI 53130-2557
Ph: (414) 425-5351 |
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