Dr Richard C Clarke, MD is a medicare enrolled "Anesthesiology" physician in Mamou, Louisiana. His current practice location is
801 Poinciana Ave, Mamou, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 261-5151.
Dr Richard C Clarke is licensed to practice in Louisiana (license number 023604) 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 1174510051.
Physician's Profile
| Full Name | Dr Richard C Clarke |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 801 Poinciana Ave, Mamou, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174510051
- Provider Enumeration Date: 10/05/2005
- Last Update Date: 07/23/2007
Medicare PECOS Information:
- PECOS PAC ID: 9830155605
- Enrollment ID: I20041203000112
Medical Identifiers
Medical identifiers for Dr Richard C Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174510051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 023604 (Louisiana) | 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 Richard C Clarke allows following entities to bill medicare on his behalf.
| Entity Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
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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 Richard C Clarke 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 Richard C Clarke, MD Po Box 120, Mamou, LA 70554-0120 Ph: (337) 261-5151 | Dr Richard C Clarke, MD 801 Poinciana Ave, Mamou, LA 70554-2243 Ph: (337) 261-5151 |
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