Kelley D Clark, MD - Medicare Obstetrics/gynecology in York, PA

Kelley D Clark, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in York, Pennsylvania. She went to Kentucky School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Wellspan Medical Group and her current practice location is 35 Monument Rd Ste 202, York, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 851-2722.

Kelley D Clark is licensed to practice in Pennsylvania (license number MD431748) 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 1073695045.

Contact Information

Kelley D Clark, MD
35 Monument Rd Ste 202,
York, PA 17403-5074
(717) 851-2722
(717) 851-3127

Map and Direction




Physician's Profile

Full NameKelley D Clark
GenderFemale
SpecialityObstetrics/gynecology
Experience34 Years
Location35 Monument Rd Ste 202, York, Pennsylvania
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:
  • Kelley D Clark attended and graduated from Kentucky School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1073695045
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 04/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0244254746
  • Enrollment ID: I20200504000664

Medical Identifiers

Medical identifiers for Kelley D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073695045NPI-NPPES
64307200MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 40584 (Tennessee)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 0101259164 (Virginia)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 30720 (Kentucky)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine MD431748 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellspan Medical Group19512131151641

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. Kelley D Clark allows following entities to bill medicare on her behalf.
Entity NameYork Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326060492
PECOS PAC ID: 2961307467
Enrollment ID: O20031205000629
Entity NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750480299
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815

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. Kelley D 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
Kelley D Clark, MD
3421 Concord Rd,
York, PA 17402-9001

Ph: (717) 851-1405
Kelley D Clark, MD
35 Monument Rd Ste 202,
York, PA 17403-5074

Ph: (717) 851-2722

Reviews and Comments


Obstetrics & Gynecology Doctors in York, PA

Dr. Michael Paul Russo, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 4222 Lincoln Hwy, York, PA 17406
Phone: 717-812-7800    Fax: 717-812-7811
Sumithra Jeganathan,
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 35 Monument Rd Ste 202, York, PA 17403
Phone: 717-851-2722    Fax: 717-851-3127
Dr. Jahnea Chanel Williams, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1001 S George St, York, PA 17403
Phone: 717-812-4602    Fax: 717-812-3499
Katherine Nicole Prowell, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1693 S Queen St, York, PA 17403
Phone: 717-845-1621    
Dr. Norman F. Navarro, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1000 S George St, York, PA 17403
Phone: 717-851-2348    Fax: 717-851-2426
Dr. Gretchen Eh Makai, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 2860 Whiteford Rd Unit 1, York, PA 17402
Phone: 717-988-8170    Fax: 717-221-5398

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.