Dr Mark Allen Clapp, MD - Medicare Emergency Medicine in Cookeville, TN

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Dr Mark Allen Clapp, MD is a medicare enrolled "Family Medicine" physician in Cookeville, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Concord Medical Group Of Kentucky Pllc and his current practice location is 315 N Washington Ave, Suite 130, Cookeville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 526-1050.

Dr Mark Allen Clapp is licensed to practice in Tennessee (license number 18488) 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 1376592782.

Contact Information

Dr Mark Allen Clapp, MD
315 N Washington Ave, Suite 130,
Cookeville, TN 38501-2603
(931) 526-1050
(931) 526-8163

Map and Direction




Physician's Profile

Full NameDr Mark Allen Clapp
GenderMale
SpecialityEmergency Medicine
Experience29 Years
Location315 N Washington Ave, Cookeville, Tennessee
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 Mark Allen Clapp attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1996
  NPI Data:
  • NPI Number: 1376592782
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 10/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6305838780
  • Enrollment ID: I20211026002871

Medical Identifiers

Medical identifiers for Dr Mark Allen Clapp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376592782NPI-NPPES
3030409MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine C0365 (Kentucky)Secondary
207Q00000XFamily Medicine 18488 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Livingston Hospital And Healthcare Services, IncSalem, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Concord Medical Group Of Kentucky Pllc913348389462

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 Allen Clapp allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050302000285
Entity NameSoutheastern Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20090715000150
Entity NameConcord Medical Group Of Kentucky Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346746385
PECOS PAC ID: 9133483894
Enrollment ID: O20180503002233
Entity NameKentucky Post-acute Medical Services 1 Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831628783
PECOS PAC ID: 9234471426
Enrollment ID: O20190509000789

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 Allen Clapp 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 Mark Allen Clapp, MD
315 N Washington Ave, Suite 130,
Cookeville, TN 38501-2603

Ph: (931) 526-1050		Dr Mark Allen Clapp, MD
315 N Washington Ave, Suite 130,
Cookeville, TN 38501-2603

Ph: (931) 526-1050

Reviews and Comments


Family Medicine Doctors in Cookeville, TN

Vicky Dillon, FNP
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Practice Location: 225 N Willow Ave Ste 3, Cookeville, TN 38501
Phone: 931-528-8899    
Dr. James W Cates Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1120 Sams St, Cookeville, TN 38506
Phone: 931-528-7312    Fax: 931-528-7377
William Robert Gailmard, M.D.
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Practice Location: 1 Medical Center Blvd, Cookeville, TN 38501
Phone: 931-783-2334    
Hunter A Stenzel, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1080 Neal St Ste 103, Cookeville, TN 38501
Phone: 931-526-3316    Fax: 931-614-7517
Dr. Aaron Luther Bennett, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Blvd, Cookeville, TN 38501
Phone: 931-528-2541    
Dr. Carol Franklin Berg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 128 N Whitney Ave, Cookeville, TN 38501
Phone: 931-783-4600    Fax: 931-783-4699
Dr. Colin Garrett Smith, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 315 N Washington Ave, Suite 265, Cookeville, TN 38501
Phone: 931-854-9432    Fax: 931-854-9434

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.