Kathleen Clark, DO - Medicare Emergency Medicine in Saint Joseph, MI

Kathleen Clark, DO is a medicare enrolled "Emergency Medicine" physician in Saint Joseph, Michigan. She went to Lincoln Memorial University Medical Department and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Prisma Health University Medical Group and her current practice location is 1234 Napier Ave, Saint Joseph, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 982-4941.

Kathleen Clark is licensed to practice in Michigan (license number 5101021292) 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 1164836557.

Contact Information

Kathleen Clark, DO
1234 Napier Ave,
Saint Joseph, MI 49085
(269) 982-4941
Not Available

Map and Direction




Physician's Profile

Full NameKathleen Clark
GenderFemale
SpecialityEmergency Medicine
Experience10 Years
Location1234 Napier Ave, Saint Joseph, Michigan
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:
  • Kathleen Clark attended and graduated from Lincoln Memorial University Medical Department in 2014
  NPI Data:
  • NPI Number: 1164836557
  • Provider Enumeration Date: 06/13/2014
  • Last Update Date: 07/24/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254633191
  • Enrollment ID: I20180904000322

Medical Identifiers

Medical identifiers for Kathleen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164836557NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101021292 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Health Greenville Memorial HospitalGreenville, SCHospital
Prisma Health Hillcrest HospitalSimpsonville, SCHospital
Prisma Health Oconee Memorial HospitalSeneca, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832201

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. Kathleen Clark allows following entities to bill medicare on her behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238
Entity NameBaptist Easley Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144452889
PECOS PAC ID: 0840337606
Enrollment ID: O20091027000684

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. Kathleen 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
Kathleen Clark, DO
1 Independence Pt Ste 212,
Greenville, SC 29615-4536

Ph: (864) 797-6174
Kathleen Clark, DO
1234 Napier Ave,
Saint Joseph, MI 49085

Ph: (269) 982-4941

Reviews and Comments


Emergency Medicine Doctors in Saint Joseph, MI

Dr. Jessica Lynn Hamill Schindler, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1234 Napier Ave, Lakeland Regional Medical Center, Saint Joseph, MI 49085
Phone: 269-982-4941    
Lauren Virginia Chatfield Miller, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085
Phone: 269-982-4941    
Zachary Taylor, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085
Phone: 269-927-5191    
Dr. Michael W Clark, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085
Phone: 269-983-8300    
Kevin Hoffman, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085
Phone: 269-982-4941    
Thomas Christopher Barker, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085
Phone: 208-863-9116    
Edward R Lutkus, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1234 Napier Ave, Saint Joseph, MI 49085
Phone: 269-983-8300    

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.