Dr Roderick V Clark, MD - Medicare Nephrology in Lafayette, LA

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Dr Roderick V Clark, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Lafayette, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1987 and has 38 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Gulf Coast Nephrology, Llc, Acadiana Renal Physicians Amc, Louisiana Kidney Update Llc and his current practice location is 2804 Ambassador Caffery Pkwy, Lafayette, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 981-5156.

Dr Roderick V Clark is licensed to practice in Louisiana (license number 019518) 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 1225066939.

Contact Information

Dr Roderick V Clark, MD
2804 Ambassador Caffery Pkwy,
Lafayette, LA 70506-5906
(337) 981-5156
(337) 981-0673

Map and Direction




Physician's Profile

Full NameDr Roderick V Clark
GenderMale
SpecialityNephrology
Experience38 Years
Location2804 Ambassador Caffery Pkwy, Lafayette, Louisiana
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 Roderick V Clark attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1987
  NPI Data:
  • NPI Number: 1225066939
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 09/11/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4880613694
  • Enrollment ID: I20060313000063

Medical Identifiers

Medical identifiers for Dr Roderick V Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225066939NPI-NPPES
1379875MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 019518 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmcna - Breaux BridgeBreaux bridge, LADialysis facility
Our Lady Of Lourdes Regional Medical Center, IncLafayette, LAHospital
Lafayette General Medical CenterLafayette, LAHospital
Iberia Medical CenterNew iberia, LAHospital
St Martin HospitalBreaux bridge, LAHospital
Opelousas General Health SystemOpelousas, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gulf Coast Nephrology, Llc10527879592
Acadiana Renal Physicians Amc589078307017
Louisiana Kidney Update Llc90324795482

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 Roderick V Clark allows following entities to bill medicare on his behalf.
Entity NameOur Lady Of Lourdes Regional Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952497489
PECOS PAC ID: 5890683411
Enrollment ID: O20040305000956
Entity NameAcadiana Renal Physicians Amc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992747349
PECOS PAC ID: 5890783070
Enrollment ID: O20040505000949
Entity NameLsuhn Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992975775
PECOS PAC ID: 0446337802
Enrollment ID: O20080409000372
Entity NameLouisiana Kidney Update Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104014349
PECOS PAC ID: 9032479548
Enrollment ID: O20180201000657
Entity NameGulf Coast Nephrology, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982340774
PECOS PAC ID: 1052787959
Enrollment ID: O20221018001907

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 Roderick V 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 Roderick V Clark, MD
2804 Ambassador Caffery Pkwy,
Lafayette, LA 70506-5906

Ph: (337) 981-5156		Dr Roderick V Clark, MD
2804 Ambassador Caffery Pkwy,
Lafayette, LA 70506-5906

Ph: (337) 981-5156

Reviews and Comments


Internal Medicine Doctors in Lafayette, LA

Leigh Victoria Deshotels, MD
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Practice Location: 4809 Ambassador Caffery Pkwy Ste 230, Lafayette, LA 70508
Phone: 337-470-2739    Fax: 337-470-6495
Dr. Maximo Bienvenido Lamarche, M.D.
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Practice Location: 300 W Saint Mary Blvd, Lafayette, LA 70506
Phone: 337-233-6593    Fax: 337-235-1032
Dr. John M Rainey, M.D.
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Cassie Clark,
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Practice Location: 2390 W Congress St, Lafayette, LA 70506
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Dr. Corwin Ashford Thomas, D.O.
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Practice Location: 802 E Farrel Rd, Lafayette, LA 70508
Phone: 337-234-3163    Fax: 337-234-3168
Dr. Matthew Shane Fontenot, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503
Phone: 337-289-7927    Fax: 337-289-7935
Dr. John Brent Rhodes Jr., M.D.
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Practice Location: 439 Heymann Blvd, Lafayette, LA 70503
Phone: 337-269-0963    Fax: 337-269-0553

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.