Dr Zachary Kyle Clark, MD - Medicare Internal Medicine in Fairhope, AL

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Dr Zachary Kyle Clark, MD is a medicare enrolled "Internal Medicine" physician in Fairhope, Alabama. He went to University Of South Alabama College Of Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Imc-hospitalists Llc, Gulf Health Hospitals Inc, Fairhope Internal Medicine Pc and his current practice location is 150 S Ingleside St Ste 6, Fairhope, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 990-1740.

Dr Zachary Kyle Clark is licensed to practice in Alabama (license number 43746) 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 1063049054.

Contact Information

Dr Zachary Kyle Clark, MD
150 S Ingleside St Ste 6,
Fairhope, AL 36532-1804
(251) 990-1740
Not Available

Map and Direction




Physician's Profile

Full NameDr Zachary Kyle Clark
GenderMale
SpecialityInternal Medicine
Experience6 Years
Location150 S Ingleside St Ste 6, Fairhope, Alabama
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 Zachary Kyle Clark attended and graduated from University Of South Alabama College Of Medicine in 2020
  NPI Data:
  • NPI Number: 1063049054
  • Provider Enumeration Date: 03/27/2020
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870910342
  • Enrollment ID: I20220805003143

Medical Identifiers

Medical identifiers for Dr Zachary Kyle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063049054NPI-NPPES
315102MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 43746 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thomas HospitalFairhope, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Imc-hospitalists Llc226472715575
Gulf Health Hospitals Inc337544849115
Fairhope Internal Medicine Pc63058846519

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 Zachary Kyle Clark allows following entities to bill medicare on his behalf.
Entity NameFairhope Internal Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295760494
PECOS PAC ID: 6305884651
Enrollment ID: O20050419000175
Entity NameGreater Mobile Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801063938
PECOS PAC ID: 1456429281
Enrollment ID: O20081007000622
Entity NameGmuc Of Springhill Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952617508
PECOS PAC ID: 6901091156
Enrollment ID: O20101112000731
Entity NameGmuc Of Citronelle Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164794343
PECOS PAC ID: 8426210014
Enrollment ID: O20120426000475
Entity NameImc-hospitalists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669824934
PECOS PAC ID: 2264727155
Enrollment ID: O20160816002233
Entity NameGulf Health Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194335877
PECOS PAC ID: 3375448491
Enrollment ID: O20220511000064

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 Zachary Kyle 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 Zachary Kyle Clark, MD
150 S Ingleside St Ste 6,
Fairhope, AL 36532-1804

Ph: () -		Dr Zachary Kyle Clark, MD
150 S Ingleside St Ste 6,
Fairhope, AL 36532-1804

Ph: (251) 990-1740

Reviews and Comments


Internal Medicine Doctors in Fairhope, AL

Dr. Michael A. Hennigan, M.D.
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Dr. Christopher Clarke, MD
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Larry R Lockhart, MD
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Dr. Isadore M. Pike, M.D.
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Practice Location: 105 N Summit St, Fairhope, AL 36532
Phone: 251-990-3098    Fax: 251-990-3417
Forrest Wrenn, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 750 Morphy Ave, Fairhope, AL 36532
Phone: 251-279-1529    
Steven Philip Wittmer, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 150 S Ingleside St Ste 6, Fairhope, AL 36532
Phone: 251-990-1740    Fax: 251-990-1831

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.