Jason D Clark, DO is a medicare enrolled "Orthopaedic Surgery" physician in Butler, Pennsylvania. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2009 and has 15 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Butler Medical Providers and his current practice location is
480 E Jefferson St, Suite B, Butler, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 968-5300.
Jason D Clark is licensed to practice in Pennsylvania (license number OS018039) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1134448525.
Physician's Profile
| Full Name | Jason D Clark |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 15 Years |
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| Location | 480 E Jefferson St, Butler, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jason D Clark attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2009
NPI Data:
- NPI Number: 1134448525
- Provider Enumeration Date: 05/25/2010
- Last Update Date: 12/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 9931326410
- Enrollment ID: I20160804001701
Medical Identifiers
Medical identifiers for Jason D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134448525 | NPI | - | NPPES |
| 1031367111 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 2015-00059 (North Carolina) | Secondary |
| 207X00000X | Orthopaedic Surgery | 071601 (Georgia) | Secondary |
| 207X00000X | Orthopaedic Surgery | 58.003143 (Ohio) | Secondary |
| 207X00000X | Orthopaedic Surgery | OS018039 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Butler Medical Providers | 7416840160 | 308 |
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. Jason D Clark allows following entities to bill medicare on his behalf.
| Entity Name | Butler Medical Providers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619493046
PECOS PAC ID: 7416840160
Enrollment ID: O20040205000830 |
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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. Jason D 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 |
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Jason D Clark, DO
Po Box 1549,
Butler, PA 16003-1549
Ph: (724) 284-4060 | Jason D Clark, DO
480 E Jefferson St, Suite B,
Butler, PA 16001-4780
Ph: (724) 968-5300 |
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