Hollis J Clark, MD - Medicare Internal Medicine in Murray, KY

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Hollis J Clark, MD is a medicare enrolled "Internal Medicine" physician in Murray, Kentucky. His current practice location is 1000 S 12th St, Murray, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 759-9200.

Hollis J Clark is licensed to practice in Kentucky (license number 25837) 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 1790766178.

Contact Information

Hollis J Clark, MD
1000 S 12th St,
Murray, KY 42071-9303
(270) 759-9200
(270) 759-9966

Map and Direction




Physician's Profile

Full NameHollis J Clark
GenderMale
SpecialityInternal Medicine
Location1000 S 12th St, Murray, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790766178
  • Provider Enumeration Date: 11/11/2005
  • Last Update Date: 10/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4880783877
  • Enrollment ID: I20090328000007

Medical Identifiers

Medical identifiers for Hollis J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790766178NPI-NPPES
000000050308OtherKYANTHEM PROVIDER NUMBER
080025697OtherKYRAILROAD MC PROVIDER NUM
64258379MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 25837 (Kentucky)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. Hollis J Clark allows following entities to bill medicare on his behalf.
Entity NameVmd Primary Providers Central Kentucky
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831674654
PECOS PAC ID: 6709119068
Enrollment ID: O20190531002182

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. Hollis J 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
Hollis J Clark, MD
1000 S 12th St,
Murray, KY 42071-9303

Ph: (270) 759-9200		Hollis J Clark, MD
1000 S 12th St,
Murray, KY 42071-9303

Ph: (270) 759-9200

Reviews and Comments


Internal Medicine Doctors in Murray, KY

Dr. Melissa Cole Mangold, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 803 Poplar St, Murray, KY 42071
Phone: 270-762-1100    
Mr. Monte Gene Finch, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 S 8th St Ste 509e, Murray, KY 42071
Phone: 270-759-4000    Fax: 270-752-2857
Dr. Richard E Blalock, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S 12th St, Murray, KY 42071
Phone: 270-759-9200    Fax: 270-759-9966
Dr. Dan M. Miller, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 312 S 8th St, Murray, KY 42071
Phone: 270-753-2395    Fax: 270-759-4745
Dr. April Nevarez-maggard, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 803 Poplar St, Murray, KY 42071
Phone: 334-793-5000    
Dr. Ghanshyam S Shastri, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 S 8th St, Suite 301e, Murray, KY 42071
Phone: 270-762-1539    Fax: 270-752-2858
Dr. Allen Lee Tinsley, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 506 N 12th St, Murray, KY 42071
Phone: 270-415-7055    Fax: 270-415-7056

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.