Keith Fredrick Clark, MD PHD in Oklahoma City, OK

Keith Fredrick Clark, MD PHD is a medicare enrolled "Otolaryngology" physician in Oklahoma City, Oklahoma. He went to University Of Michigan Medical School and graduated in 1978 and has 47 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Saints Medical Group, Llc and his current practice location is 535 Nw 9th St, Suite 300, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 272-6027.

Keith Fredrick Clark is licensed to practice in Oklahoma (license number 14220) 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 1376506642.

Contact Information

	Keith Fredrick Clark, MD PHD
	535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070
	(405) 272-6027
	(405) 272-8315

Map and Direction

Physician's Profile

Full Name	Keith Fredrick Clark
Gender	Male
Speciality	Otolaryngology
Experience	47 Years
Location	535 Nw 9th St, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith Fredrick Clark attended and graduated from University Of Michigan Medical School in 1978

NPI Data:

NPI Number: 1376506642
Provider Enumeration Date: 04/08/2006
Last Update Date: 10/18/2020

Medicare PECOS Information:

PECOS PAC ID: 6204985641
Enrollment ID: I20120302000522

Medical Identifiers

Medical identifiers for Keith Fredrick Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376506642	NPI	-	NPPES
157107001	Medicaid	AR
731461178005	Other		TRICARE
A0209Z	Other		PPO OKLAHOMA
100823600B	Medicaid	OK
2994975	Other		AETNA US HEALTHCARE
P00075512	Other		RR MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	14220 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm Health St Anthony Hospital - Oklahoma City	Oklahoma city, OK	Hospital
Ssm Health St Anthony Hospital - Shawnee	Shawnee, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saints Medical Group, Llc	7012914898	395

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. Keith Fredrick Clark allows following entities to bill medicare on his behalf.

Entity Name	Saints Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189

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. Keith Fredrick 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
Keith Fredrick Clark, MD PHD 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 Ph: (405) 272-6027	Keith Fredrick Clark, MD PHD 535 Nw 9th St, Suite 300, Oklahoma City, OK 73102-1070 Ph: (405) 272-6027

Reviews and Comments

Otolaryngology Doctors in Oklahoma City, OK

Richard D. Kopke, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3400 Nw 56th St, Oklahoma City, OK 73112 Phone: 405-946-5563 Fax: 405-947-6226
Dr. Elena Beth Woodson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 9900 Broadway Ext Ste 200, Oklahoma City, OK 73114 Phone: 405-608-8833 Fax: 405-608-8818
Dr. John R Houck Jr., MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 921 Ne 13th Street, Department Of Surgery, Oklahoma City, OK 73104 Phone: 405-456-3409 Fax: 405-456-5952
Jesus E Medina, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 825 Ne 10th St # 4200, Oklahoma City, OK 73104 Phone: 405-271-7559
Jimmy Argo, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5504
Adam Johnson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Wp 1290, Oklahoma City, OK 73104 Phone: 405-271-5504
Perry M. Santos, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 3435 Nw 56th St, Bldg A, Suite 412, Oklahoma City, OK 73112 Phone: 405-945-4325 Fax: 405-945-4327

Keith Fredrick Clark, MD PHD - Medicare Otolaryngology in Oklahoma City, OK