Gerald H Clark, MD in Roswell, GA

Gerald H Clark, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Roswell, Georgia. His current practice location is 1285 Hembree Rd, Ste 100, Roswell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 442-1050.

Gerald H Clark is licensed to practice in Georgia (license number 026083) 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 1386640241.

Contact Information

	Gerald H Clark, MD
	1285 Hembree Rd, Ste 100, Roswell, GA 30076-5715
	(770) 442-1050
	(770) 442-9618

Map and Direction

Physician's Profile

Full Name	Gerald H Clark
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	1285 Hembree Rd, Roswell, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386640241
Provider Enumeration Date: 06/24/2005
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 2860801982
Enrollment ID: I20210430002441

Medical Identifiers

Medical identifiers for Gerald H Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386640241	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	026083 (Georgia)	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. Gerald H Clark allows following entities to bill medicare on his behalf.

Entity Name	North Fulton Pediatrics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083669063 PECOS PAC ID: 9133538259 Enrollment ID: O20210430002416

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. Gerald H 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
Gerald H Clark, MD 1285 Hembree Rd, Ste 100, Roswell, GA 30076-5715 Ph: (770) 442-1050	Gerald H Clark, MD 1285 Hembree Rd, Ste 100, Roswell, GA 30076-5715 Ph: (770) 442-1050

Reviews and Comments

Pediatrics Doctors in Roswell, GA

Dr. Balaam T. Elliott Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4117 Walton Way, Roswell, GA 30076 Phone: 770-876-3345
Richard Martin Szabo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1285 Hembree Rd, Suite 100, Roswell, GA 30076 Phone: 770-442-1050
Laura M. Zucker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1285 Hembree Rd, Roswell, GA 30076 Phone: 770-442-1050 Fax: 770-442-9618
Jodi M. Greenwald, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1285 Hembree Rd, Ste 100, Roswell, GA 30076 Phone: 770-442-1050 Fax: 770-442-9618
Dr. Melissa Sammons Hughes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 430 Brighton Crst, Roswell, GA 30075 Phone: 770-645-1137
Dr. Michael Osita Nwaneri, MBBS, MD, MSC, MBA Pediatrics Medicare: Medicare Enrolled Practice Location: 1305 Hembree Rd Ste 203, Roswell, GA 30076 Phone: 470-485-6342 Fax: 888-723-2802
Mark Kishel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Larne Ct, Roswell, GA 30076 Phone: 678-592-9005

Gerald H Clark, MD - Medicare Pediatrics in Roswell, GA