Kendall R Clark, MD in Cary, NC - Medicare Family Practice

Kendall R Clark, MD is a medicare enrolled "Family Medicine" physician in Cary, North Carolina. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aspirus Riverview Hospital And Clinics Inc, Emergency Professional Services, Inc. and his current practice location is 119 Sw Maynard Rd Ste 150, Cary, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 578-8593.

Kendall R Clark is licensed to practice in North Carolina (license number 200200101) 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 1568509685.

Contact Information

	Kendall R Clark, MD
	119 Sw Maynard Rd Ste 150, Cary, NC 27511-4472
	(919) 578-8593
	Not Available

Map and Direction

Physician's Profile

Full Name	Kendall R Clark
Gender	Male
Speciality	Family Practice
Experience	34 Years
Location	119 Sw Maynard Rd Ste 150, Cary, North Carolina
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:

Kendall R Clark graduated from medical school in 1992

NPI Data:

NPI Number: 1568509685
Provider Enumeration Date: 01/30/2007
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 8628210465
Enrollment ID: I20230602000291

Medical Identifiers

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

Identifier	Type	State	Issuer
1568509685	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35.144519 (Ohio)	Secondary
207Q00000X	Family Medicine	ME65017 (Florida)	Secondary
207Q00000X	Family Medicine	200200101 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aspirus Riverview Hospital & Clinics Inc	Wisconsin rapids, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aspirus Riverview Hospital And Clinics Inc	4587658182	165
Emergency Professional Services, Inc.	7214832435	121

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. Kendall R Clark allows following entities to bill medicare on his behalf.

Entity Name	Aspirus Riverview Hospital & Clinics Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945

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. Kendall 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
Kendall R Clark, MD 119 Sw Maynard Rd Ste 150, Cary, NC 27511-4472 Ph: (919) 578-8593	Kendall R Clark, MD 119 Sw Maynard Rd Ste 150, Cary, NC 27511-4472 Ph: (919) 578-8593

Reviews and Comments

Family Medicine Doctors in Cary, NC

Dr. Lucia Fernanda Reyes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Ashville Ave Ste 10, Cary, NC 27518 Phone: 919-350-7231
Dr. Fred Scott Rabon, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Sas Campus Dr, Cary, NC 27513 Phone: 919-531-9004 Fax: 919-654-3800
Alexandra Victoria Aglieco, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Kildaire Park Dr Ste 108, Cary, NC 27518 Phone: 919-469-1252 Fax: 919-469-1373
Thomas Payson Thompson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7750 Mccrimmon Pkwy Ste 100, Cary, NC 27519 Phone: 919-234-1577 Fax: 888-355-8929
Dr. Mrinalini Sujala Kodumagulla, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1831 Lake Pine Dr Ste 200, Cary, NC 27511 Phone: 919-380-1849 Fax: 919-380-1851
Daniel C Richard, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 600 New Waverly Pl, Ste 203, Cary, NC 27518 Phone: 919-859-5650 Fax: 919-859-5695
Mrs. Claudia Lucia Gomez, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 540 New Waverly Pl Ste 200, Cary, NC 27518 Phone: 919-954-4159 Fax: 919-954-4445

Kendall R Clark, MD - Medicare Family Practice in Cary, NC