Kerry R Clark, MD in Valencia, CA - Medicare Internal Medicine

Kerry R Clark, MD is a medicare enrolled "Internal Medicine" physician in Valencia, California. His current practice location is 25751 Mcbean Pkwy, Ste 210, Valencia, California. You can reach out to his office (for appointments etc.) via phone at (661) 284-3100.

Kerry R Clark is licensed to practice in California (license number G60150) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093802365.

Contact Information

	Kerry R Clark, MD
	25751 Mcbean Pkwy, Ste 210, Valencia, CA 91355-3701
	(661) 284-3100
	(661) 290-3310

Map and Direction

Physician's Profile

Full Name	Kerry R Clark
Gender	Male
Speciality	Internal Medicine
Location	25751 Mcbean Pkwy, Valencia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093802365
Provider Enumeration Date: 10/06/2006
Last Update Date: 06/24/2009

Medicare PECOS Information:

PECOS PAC ID: 5294887121
Enrollment ID: I20090723000269

Medical Identifiers

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

Identifier	Type	State	Issuer
1093802365	NPI	-	NPPES
00G771370	Other	CA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	G60150 (California)	Primary

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

Entity Name	Northeast Valley Health Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629079009 PECOS PAC ID: 3173517323 Enrollment ID: O20040412001067

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. Kerry 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
Kerry R Clark, MD 23388 Mulholland Dr, Mailstop 62, Woodland Hills, CA 91364-2733 Ph: (818) 876-1636	Kerry R Clark, MD 25751 Mcbean Pkwy, Ste 210, Valencia, CA 91355-3701 Ph: (661) 284-3100

Reviews and Comments

Internal Medicine Doctors in Valencia, CA

Mostafa Tabassomi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23838 Valencia Blvd Ste 304, Valencia, CA 91355 Phone: 661-430-9030 Fax: 661-430-9020
Dr. Gene L Tran, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 23803 Mcbean Pkwy, Valencia, CA 91355 Phone: 661-481-2400
Dr. Robert Kozlowski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25751 Mcbean Pkwy Ste 210, Valencia, CA 91355 Phone: 661-284-3100 Fax: 661-290-3310
Dr. Douglas R Gadowski, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25775 Mcbean Pkwy, Ste 105, Valencia, CA 91355 Phone: 661-255-2410 Fax: 661-255-8671
Sittiporn Bencharit, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 25775 Mcbean Pkwy, Suite 115, Valencia, CA 91355 Phone: 661-255-2420 Fax: 661-259-0552
David Elliott Krieger, M.D.,PH.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25775 Mcbean Pkwy, Suite 115, Valencia, CA 91355 Phone: 661-255-2420 Fax: 661-259-5741
Arousha Davatgarzadeh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 26357 Mcbean Pkwy, Valencia, CA 91355 Phone: 661-222-2605 Fax: 661-222-2694

Kerry R Clark, MD - Medicare Internal Medicine in Valencia, CA