Justin Clark, DO - Medicare Allergy/immunology in Fort Walton Beach, FL

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Justin Clark, DO is a medicare enrolled "Allergy & Immunology" physician in Fort Walton Beach, Florida. He went to R Franklin University Of Med & Sci/chicago Medical School and graduated in 2000 and has 26 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice All Seasons Allergy And Asthma Center, P.a. and his current practice location is 362 Beal Pkwy Nw Ste 105, Fort Walton Beach, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 862-3020.

Justin Clark is licensed to practice in Florida (license number OS9224) 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 1538129085.

Contact Information

Justin Clark, DO
362 Beal Pkwy Nw Ste 105,
Fort Walton Beach, FL 32548-3926
(850) 862-3020
(850) 862-1363

Map and Direction




Physician's Profile

Full NameJustin Clark
GenderMale
SpecialityAllergy/immunology
Experience26 Years
Location362 Beal Pkwy Nw Ste 105, Fort Walton Beach, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Justin Clark attended and graduated from R Franklin University Of Med & Sci/chicago Medical School in 2000
  NPI Data:
  • NPI Number: 1538129085
  • Provider Enumeration Date: 03/27/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6800881483
  • Enrollment ID: I20050920000377

Medical Identifiers

Medical identifiers for Justin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538129085NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207K00000XAllergy & Immunology OS9224 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
All Seasons Allergy And Asthma Center, P.a.22644653762

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. Justin Clark allows following entities to bill medicare on his behalf.
Entity NameAll Seasons Allergy and Asthma Center, P.A.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578618104
PECOS PAC ID: 2264465376
Enrollment ID: O20050917000468

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. Justin 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
Justin Clark, DO
362 Beal Pkwy Nw Ste 105,
Fort Walton Beach, FL 32548-3926

Ph: (850) 862-3020		Justin Clark, DO
362 Beal Pkwy Nw Ste 105,
Fort Walton Beach, FL 32548-3926

Ph: (850) 862-3020

Reviews and Comments


Allergy & Immunology Doctors in Fort Walton Beach, FL

Dr. Brian Christopher Reed, MD
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 339 Racetrack Rd Nw Ste 17, Fort Walton Beach, FL 32547
Phone: 850-863-1189    Fax: 850-863-1241
Dr. David Rose, M.D.
Allergy & Immunology
Medicare: May Accept Medicare Assignments
Practice Location: 339 Racetrack Rd Nw Ste 17, Fort Walton Beach, FL 32547
Phone: 850-863-1189    Fax: 850-863-1241
Chelsea Lynn Russell,
Allergy & Immunology
Medicare: Accepting Medicare Assignments
Practice Location: 362 Beal Pkwy N Ste 105, Fort Walton Beach, FL 32548
Phone: 850-862-3020    Fax: 850-862-1363

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.