John Clarke, is a
Anesthesiology physician based in Clearlake, California. John Clarke is licensed to practice in California (license number NA1636) and his current practice location is 15630 18th Ave, Clearlake, California. He can be reached at his office (for appointments etc.) via phone at
(707) 994-6486.
NPI number for John Clarke is 1053329359 and his current mailing address is 1750 Westlake Dr, Kelseyville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053329359.
Physician's Profile
| Full Name | John Clarke |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 15630 18th Ave, Clearlake, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053329359
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053329359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | NA1636 (California) | Primary |
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. John Clarke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Clarke,
1750 Westlake Dr,
Kelseyville, CA 95451-7049
Ph: (707) 994-6486 | John Clarke,
15630 18th Ave,
Clearlake, CA 95422
Ph: (707) 994-6486 |
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