Dr Nicholas William Clark, MD in Oklahoma City, OK

Dr Nicholas William Clark, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Oklahoma City, Oklahoma. His current practice location is 3300 Nw 56th St Ste 202, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 555-1234.

Dr Nicholas William Clark is licensed to practice in Oklahoma (license number 45294) 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 1386106201.

Contact Information

	Dr Nicholas William Clark, MD
	3300 Nw 56th St Ste 202, Oklahoma City, OK 73112-4401
	(405) 555-1234
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nicholas William Clark
Gender	Male
Speciality	Otolaryngology - Facial Plastic Surgery
Location	3300 Nw 56th St Ste 202, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386106201
Provider Enumeration Date: 04/01/2019
Last Update Date: 10/22/2025

Medicare PECOS Information:

PECOS PAC ID: 3870037286
Enrollment ID: I20240626003294

Medical Identifiers

Medical identifiers for Dr Nicholas William Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386106201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	99942 (Georgia)	Secondary
207YS0123X	Otolaryngology - Facial Plastic Surgery	45294 (Oklahoma)	Primary
207Y00000X	Otolaryngology	249966 (North Carolina)	Secondary

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 Nicholas William Clark allows following entities to bill medicare on his behalf.

Entity Name	The Emory Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503

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 Nicholas William 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 Nicholas William Clark, MD 3300 Nw 56th St Ste 202, Oklahoma City, OK 73112-4401 Ph: () -	Dr Nicholas William Clark, MD 3300 Nw 56th St Ste 202, Oklahoma City, OK 73112-4401 Ph: (405) 555-1234

Reviews and Comments

Otolaryngology Doctors in Oklahoma City, OK

Richard D. Kopke, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3400 Nw 56th St, Oklahoma City, OK 73112 Phone: 405-946-5563 Fax: 405-947-6226
Dr. Elena Beth Woodson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9900 Broadway Ext Ste 200, Oklahoma City, OK 73114 Phone: 405-608-8833 Fax: 405-608-8818
Dr. John R Houck Jr., MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th Street, Department Of Surgery, Oklahoma City, OK 73104 Phone: 405-456-3409 Fax: 405-456-5952
Jesus E Medina, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 825 Ne 10th St # 4200, Oklahoma City, OK 73104 Phone: 405-271-7559
Jimmy Argo, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5504
Adam Johnson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Wp 1290, Oklahoma City, OK 73104 Phone: 405-271-5504
Perry M. Santos, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3435 Nw 56th St, Bldg A, Suite 412, Oklahoma City, OK 73112 Phone: 405-945-4325 Fax: 405-945-4327

Dr Nicholas William Clark, MD - Medicare Otolaryngology in Oklahoma City, OK