Dr Samuel David Clark, DO - Medicare Pediatrics in Waco, TX

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Dr Samuel David Clark, DO is a medicare enrolled "Pediatrics" physician in Waco, Texas. His current practice location is 120 Hillcrest Medical Blvd, Suite 200, Waco, Texas. You can reach out to his office (for appointments etc.) via phone at (254) 297-0400.

Dr Samuel David Clark is licensed to practice in Texas (license number N4354) 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 1346391752.

Contact Information

Dr Samuel David Clark, DO
120 Hillcrest Medical Blvd, Suite 200,
Waco, TX 76712-8948
(254) 297-0400
Not Available

Map and Direction




Physician's Profile

Full NameDr Samuel David Clark
GenderMale
SpecialityPediatrics
Location120 Hillcrest Medical Blvd, Waco, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346391752
  • Provider Enumeration Date: 01/13/2007
  • Last Update Date: 01/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436292067
  • Enrollment ID: I20100204000760

Medical Identifiers

Medical identifiers for Dr Samuel David Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346391752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics N4354 (Texas)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 Samuel David Clark allows following entities to bill medicare on his behalf.
Entity NameScott & White Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093779704
PECOS PAC ID: 8123923604
Enrollment ID: O20031223000640

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 Samuel David 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 Samuel David Clark, DO
120 Hillcrest Medical Blvd, Suite 200,
Waco, TX 76712-8948

Ph: (254) 297-0400		Dr Samuel David Clark, DO
120 Hillcrest Medical Blvd, Suite 200,
Waco, TX 76712-8948

Ph: (254) 297-0400

Reviews and Comments


Pediatrics Doctors in Waco, TX

Dr. Mark A Lorenzen, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 301b Richland West Cir, Waco, TX 76712
Phone: 254-772-2722    Fax: 254-772-4075
Dr. Priyadarshini Srinivasan, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712
Phone: 254-297-0400    Fax: 254-297-0404
Brian Edward Barkley, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712
Phone: 254-202-6100    Fax: 254-202-6195
Dr. Darrell Stafford Wheeler, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Hillcrest Baptist Medical Blvd., Waco, TX 76712
Phone: 254-202-2911    Fax: 254-202-2919
Katherine Elizabeth Thaller, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712
Phone: 254-202-6100    Fax: 254-202-6195
Oluwarotimi Oluwakemi Adesina, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7125 New Sanger Ave Ste 516, Waco, TX 76712
Phone: 254-752-9638    
Dr. Cessley Marsellus, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 120 Hillcrest Medical Blvd, Waco, TX 76712
Phone: 254-297-0400    

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.

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