Iris Kalin Clark, MD - Medicare Family Practice in Statesboro, GA

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Iris Kalin Clark, MD is a medicare enrolled "Family Medicine" physician in Statesboro, Georgia. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Clark Medical Group Llc and her current practice location is 1550 Brampton Ave, Ste B, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 623-2155.

Iris Kalin Clark is licensed to practice in Georgia (license number 73272) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174887004.

Contact Information

Iris Kalin Clark, MD
1550 Brampton Ave, Ste B,
Statesboro, GA 30458-0886
(912) 623-2155
(912) 623-5156

Map and Direction




Physician's Profile

Full NameIris Kalin Clark
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location1550 Brampton Ave, Statesboro, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Iris Kalin Clark graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1174887004
  • Provider Enumeration Date: 06/26/2012
  • Last Update Date: 05/03/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6305085259
  • Enrollment ID: I20151103003225

Medical Identifiers

Medical identifiers for Iris Kalin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174887004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 73272 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeStatesboro, GAHome health agency
Regency SoutherncareAugusta, GAHospice
East Georgia Regional Medical CenterStatesboro, GAHospital
Brown's Health & Rehab CenterStatesboro, GANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clark Medical Group Llc88203903472

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. Iris Kalin Clark allows following entities to bill medicare on her behalf.
Entity NameClark Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477927192
PECOS PAC ID: 8820390347
Enrollment ID: O20151230000533

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. Iris Kalin 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
Iris Kalin Clark, MD
1550 Brampton Ave, Ste B,
Statesboro, GA 30458-0886

Ph: (912) 623-2155		Iris Kalin Clark, MD
1550 Brampton Ave, Ste B,
Statesboro, GA 30458-0886

Ph: (912) 623-2155

Reviews and Comments


Family Medicine Doctors in Statesboro, GA

Leslie A Pittman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16741 Hwy 67, Suite A, Statesboro, GA 30458
Phone: 912-623-2391    Fax: 912-623-2396
Zachary Mcgalliard, MD, MPH
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23702 Us Highway 80 E, Statesboro, GA 30461
Phone: 912-489-4090    
Robert Moore Benson Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4451 Country Club Rd, Suite 3a, Statesboro, GA 30458
Phone: 912-764-2273    Fax: 912-489-4762
Sreevalli Dega, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1570 Brampton Ave, Statesboro, GA 30458
Phone: 912-764-9196    
Thaddeus H Riley, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 23702 Hwy 80 E, Statesboro, GA 30458
Phone: 912-489-4090    Fax: 912-765-5028
Dr. Aaron Taylor Clark, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 117 Hill Pond Ln, Statesboro, GA 30458
Phone: 912-623-2155    Fax: 912-623-2156

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.