Edward Joseph Clark Iii, MD - Medicare Radiology in Wilson, NC

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Edward Joseph Clark Iii, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Wilson, North Carolina. His current practice location is 1705 S. Tarboro St, Wilson, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 399-8928.

Edward Joseph Clark Iii is licensed to practice in North Carolina (license number 200101028) 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 1053474080.

Contact Information

Edward Joseph Clark Iii, MD
1705 S. Tarboro St,
Wilson, NC 27893
(252) 399-8928
(252) 399-7313

Map and Direction




Physician's Profile

Full NameEdward Joseph Clark Iii
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location1705 S. Tarboro St, Wilson, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053474080
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 03/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9830189000
  • Enrollment ID: I20231227001009

Medical Identifiers

Medical identifiers for Edward Joseph Clark Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053474080NPI-NPPES
P00129619OtherNCRAILROAD MEDICARE
891297GMedicaidNC
1297GOtherNCBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 200101028 (North Carolina)Secondary
2085R0202XRadiology - Diagnostic Radiology 200101028 (North Carolina)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. Edward Joseph Clark Iii allows following entities to bill medicare on his behalf.
Entity NameNchmd Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831120195
PECOS PAC ID: 9436139565
Enrollment ID: O20040721000254
Entity NameProscan Nch Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003406711
PECOS PAC ID: 6103233051
Enrollment ID: O20210322001326

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. Edward Joseph Clark Iii 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
Edward Joseph Clark Iii, MD
Po Box 12156,
Newport News, VA 23612-2156

Ph: (757) 867-6101		Edward Joseph Clark Iii, MD
1705 S. Tarboro St,
Wilson, NC 27893

Ph: (252) 399-8928

Reviews and Comments


Radiology Doctors in Wilson, NC

Dr. Margaret Metts, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1703 Medical Park Dr W, Wilson, NC 27893
Phone: 252-399-7400    Fax: 252-399-7385
Andrew Patrick Fink, PA-C
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1705 Tarboro St Sw, Wilson Medical Center, Wilson, NC 27893
Phone: 252-399-8928    Fax: 252-399-7477
Jeffrey Emerson Jones, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1705 Tarboro St Sw, Wilson Medical Center, Wilson, NC 27893
Phone: 252-399-8928    Fax: 252-399-7477
Paul Fernand Guay, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1705 So Tarboro St, Wilson Medical Center, Wilson, NC 27893
Phone: 252-399-8928    Fax: 252-399-7313

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.