Dr Michael J Clark, DO - Medicare Obstetrics & Gynecology in Athens, OH

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Dr Michael J Clark, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Athens, Ohio. His current practice location is 4411 Fisher Rd, Athens, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 591-8118.

Dr Michael J Clark is licensed to practice in Ohio (license number 34.002676) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275633513.

Contact Information

Dr Michael J Clark, DO
4411 Fisher Rd,
Athens, OH 45701-9334
(740) 591-8118
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael J Clark
GenderMale
SpecialityObstetrics & Gynecology
Location4411 Fisher Rd, Athens, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275633513
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254239692
  • Enrollment ID: I20040512000252

Medical Identifiers

Medical identifiers for Dr Michael J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275633513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34.002676 (Ohio)Primary

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 Michael J Clark allows following entities to bill medicare on his behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532
Entity NameSheltering Arms Hospital Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710913462
PECOS PAC ID: 9638089410
Enrollment ID: O20031210000678

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 Michael J 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 AddressPractice Location Address
Dr Michael J Clark, DO
416 Colegate Dr Bldg 3,
Marietta, OH 45750-9549

Ph: (740) 568-4814		Dr Michael J Clark, DO
4411 Fisher Rd,
Athens, OH 45701-9334

Ph: (740) 591-8118

Reviews and Comments


Obstetrics & Gynecology Doctors in Athens, OH

Tzvetan Fatchikov, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 75 Hospital Dr Ste 260, Athens, OH 45701
Phone: 740-594-8819    Fax: 740-594-4099
J. Jack Chan, D.O.
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Medicare: Not Enrolled in Medicare
Practice Location: 86 Columbus Rd, Ste 203, Athens, OH 45701
Phone: 740-594-2624    Fax: 740-594-7333
Dr. Jody M Gerome, D.O.
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Practice Location: 75 Hospital Dr, Suite 260, Athens, OH 45701
Phone: 740-594-8819    
Dr. Timothy Tulley Kermode, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 75 Hospital Dr, Suite 260, Athens, OH 45701
Phone: 740-594-8819    Fax: 740-594-4099
Dr. Jack M Ramey, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 206 Columbus Rd Ste 302, Athens, OH 45701
Phone: 740-331-6912    Fax: 740-331-6913
Dr. Jane Ellery Broecker, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 75 Hospital Dr, Suite 260, Athens, OH 45701
Phone: 740-594-8819    Fax: 740-594-4090

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.