John R Clark, MD in Georgetown, KY - Medicare Emergency Medicine

John R Clark, MD is a medicare enrolled "Emergency Medicine" physician in Georgetown, Kentucky. His current practice location is 1140 Lexington Rd, Georgetown, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 868-1100.

John R Clark is licensed to practice in Kentucky (license number 20185) 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 1154451425.

Contact Information

	John R Clark, MD
	1140 Lexington Rd, Georgetown, KY 40324-9330
	(502) 868-1100
	Not Available

Map and Direction

Physician's Profile

Full Name	John R Clark
Gender	Male
Speciality	Emergency Medicine
Location	1140 Lexington Rd, Georgetown, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154451425
Provider Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2769436799
Enrollment ID: I20050311000445

Medical Identifiers

Medical identifiers for John R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154451425	NPI	-	NPPES
64201858	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	20185 (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. John R Clark allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285

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 R 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
John R Clark, MD 1431 Centerpoint Blvd, Suite 100, Knoxville, TN 37932-1984 Ph: (865) 985-7068	John R Clark, MD 1140 Lexington Rd, Georgetown, KY 40324-9330 Ph: (502) 868-1100

Reviews and Comments

Emergency Medicine Doctors in Georgetown, KY

Dr. David F Race, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100
Scott Harrison, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 122 Cherry Hill Dr, Georgetown, KY 40324 Phone: 502-570-8502
Dr. Patrick Michael Cellarosi-yorba, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100
Dr. Michael B Chesnut, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100
Dr. Phillip L Wagner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100
Ashley Flamm, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1140 Lexington Rd, Georgetown, KY 40324 Phone: 502-868-1100

John R Clark, MD - Medicare Emergency Medicine in Georgetown, KY