Gordon Penner Clark, MD in Clearfield, PA - Medicare Emergency Medicine

Gordon Penner Clark, MD is a medicare enrolled "Emergency Medicine" physician in Clearfield, Pennsylvania. His current practice location is 809 Turnpike Ave, Clearfield, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 768-2470.

Gordon Penner Clark is licensed to practice in Pennsylvania (license number MD017321E) 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 1972538932.

Contact Information

	Gordon Penner Clark, MD
	809 Turnpike Ave, Clearfield, PA 16830-1232
	(814) 768-2470
	(814) 768-2374

Map and Direction

Physician's Profile

Full Name	Gordon Penner Clark
Gender	Male
Speciality	Emergency Medicine
Location	809 Turnpike Ave, Clearfield, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972538932
Provider Enumeration Date: 07/11/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0648327924
Enrollment ID: I20090403000187

Medical Identifiers

Medical identifiers for Gordon Penner Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972538932	NPI	-	NPPES
0009625030012	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD017321E (Pennsylvania)	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. Gordon Penner Clark allows following entities to bill medicare on his behalf.

Entity Name	Pennsylvania Department Of Human Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851374698 PECOS PAC ID: 0547168064 Enrollment ID: O20040301000722

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. Gordon Penner 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
Gordon Penner Clark, MD 809 Turnpike Ave, Clearfield, PA 16830-1232 Ph: (814) 768-2470	Gordon Penner Clark, MD 809 Turnpike Ave, Clearfield, PA 16830-1232 Ph: (814) 768-2470

Reviews and Comments

Emergency Medicine Doctors in Clearfield, PA

Ernest P Jones Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 809 Turnpike Ave, Clearfield, PA 16830 Phone: 814-768-2470 Fax: 814-768-2344
James Clifford Edwards, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 809 Turnpike Ave, Clearfield, PA 16830 Phone: 814-768-2470 Fax: 814-768-2374
James P Desantis, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 809 Turnpike Ave, Clearfield, PA 16830 Phone: 814-768-2470 Fax: 814-768-2374

Gordon Penner Clark, MD - Medicare Emergency Medicine in Clearfield, PA