Dr Melvin Jerome Clark, MD in Phoenix, AZ

Dr Melvin Jerome Clark, MD is a medicare enrolled "Ophthalmology" physician in Phoenix, Arizona. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1987 and has 38 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Dhhs Ihs Phoenix Area, Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm and his current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 263-1200.

Dr Melvin Jerome Clark is licensed to practice in Arizona (license number 53852) 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 1093704751.

Contact Information

	Dr Melvin Jerome Clark, MD
	4212 N 16th St, Phoenix, AZ 85016-5319
	(602) 263-1200
	(602) 263-1619

Map and Direction

Physician's Profile

Full Name	Dr Melvin Jerome Clark
Gender	Male
Speciality	Ophthalmology
Experience	38 Years
Location	4212 N 16th St, Phoenix, Arizona
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 Melvin Jerome Clark attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1987

NPI Data:

NPI Number: 1093704751
Provider Enumeration Date: 10/17/2005
Last Update Date: 11/20/2025

Medicare PECOS Information:

PECOS PAC ID: 2860388303
Enrollment ID: I20111024000719

Medical Identifiers

Medical identifiers for Dr Melvin Jerome Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093704751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	45197 (Minnesota)	Secondary
207W00000X	Ophthalmology	53852 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phoenix Indian Medical Center	Phoenix, AZ	Hospital
Parker Indian Health Center	Parker, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhhs Ihs Phoenix Area	0244405629	38
Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm	1759290901	188

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 Melvin Jerome Clark allows following entities to bill medicare on his behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961

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 Melvin Jerome 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 Melvin Jerome Clark, MD Po Box 95460, Cleveland, OH 44101-0033 Ph: (602) 581-6076	Dr Melvin Jerome Clark, MD 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1200

Reviews and Comments

Ophthalmology Doctors in Phoenix, AZ

Dr. Christopher M. Fecarotta, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9305 W Thomas Rd Ste 460, Phoenix, AZ 85037 Phone: 602-933-3937 Fax: 602-933-2409
Aileen F Villareal, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4400 N 32nd St, Ste 280, Phoenix, AZ 85018 Phone: 602-266-6888 Fax: 602-266-6895
Mr. Sharam Danesh, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4045 E Union Hills Dr Ste 115, Phoenix, AZ 85050 Phone: 602-368-3448 Fax: 602-357-3323
Madhavi Kurli, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 20033 N 19th Ave Ste 106, Phoenix, AZ 85027 Phone: 480-397-9560 Fax: 480-397-9561
Rima Bharat Patel, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1750 E Glendale Ave, Phoenix, AZ 85020 Phone: 602-242-4928 Fax: 602-249-4813
Daniel Patrick Dansdill, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4800 N 22nd St Ste 120, Phoenix, AZ 85016 Phone: 602-955-1000 Fax: 602-508-4830
James L Plotnik, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1920 E Cambridge Ave Ste 203, Phoenix, AZ 85006 Phone: 602-933-3937 Fax: 602-933-2409

Dr Melvin Jerome Clark, MD - Medicare Ophthalmology in Phoenix, AZ