Dustin Michael Clark, MD in Greeneville, TN - Medicare Emergency Medicine

Dustin Michael Clark, MD is a medicare enrolled "Emergency Medicine" physician in Greeneville, Tennessee. His current practice location is 1420 Tusculum Blvd, Laughlin Memorial Hospital, Greeneville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 787-5000.

Dustin Michael Clark is licensed to practice in Tennessee (license number 50872) 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 1285831644.

Contact Information

	Dustin Michael Clark, MD
	1420 Tusculum Blvd, Laughlin Memorial Hospital, Greeneville, TN 37745
	(423) 787-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dustin Michael Clark
Gender	Male
Speciality	Emergency Medicine
Location	1420 Tusculum Blvd, Greeneville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285831644
Provider Enumeration Date: 06/29/2007
Last Update Date: 07/31/2017

Medicare PECOS Information:

PECOS PAC ID: 4183849615
Enrollment ID: I20140625001946

Medical Identifiers

Medical identifiers for Dustin Michael Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285831644	NPI	-	NPPES
39020000X	Other	TX	RESIDENT IN TRAINING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	50872 (Tennessee)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Dustin Michael Clark allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997

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. Dustin Michael 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
Dustin Michael Clark, MD 900 Melrose Cir, Johnson City, TN 37601-2114 Ph: () -	Dustin Michael Clark, MD 1420 Tusculum Blvd, Laughlin Memorial Hospital, Greeneville, TN 37745 Ph: (423) 787-5000

Reviews and Comments

Emergency Medicine Doctors in Greeneville, TN

Edward Crutchfield, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 Takoma Ave, Emergency Department, Greeneville, TN 37743 Phone: 423-639-3151 Fax: 423-636-2374
Dr. Ann Celine Chang, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-787-5000
Callen Ruth Hardin, ATC Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7469 Asheville Hwy, Greeneville, TN 37743 Phone: 423-636-3790
Susan N. Obrien, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Takoma Ave, Emergency Dept., Greeneville, TN 37743 Phone: 423-639-3151
Remy Sagadraca, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1406 Tusculum Blvd Ste 2004, Greeneville, TN 37745 Phone: 423-787-5000
Dr. Leila Katherine Davis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1420 Tusculum Blvd, Greeneville, TN 37745 Phone: 423-787-5000

Dustin Michael Clark, MD - Medicare Emergency Medicine in Greeneville, TN