Latoya Shantel Clark, MD in Montgomery, AL - Medicare Obstetrics/gynecology

Latoya Shantel Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Montgomery, Alabama. She went to University Of South Alabama College Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Jackson Hospital And Clinic, Inc and her current practice location is 1758 Park Pl, Suite 406, Montgomery, Alabama. You can reach out to her office (for appointments etc.) via phone at (251) 716-4744.

Latoya Shantel Clark is licensed to practice in Alabama (license number MD.33558) 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 1346566700.

Contact Information

	Latoya Shantel Clark, MD
	1758 Park Pl, Suite 406, Montgomery, AL 36106-1127
	(251) 716-4744
	Not Available

Map and Direction

Physician's Profile

Full Name	Latoya Shantel Clark
Gender	Female
Speciality	Obstetrics/gynecology
Experience	14 Years
Location	1758 Park Pl, Montgomery, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Latoya Shantel Clark attended and graduated from University Of South Alabama College Of Medicine in 2010

NPI Data:

NPI Number: 1346566700
Provider Enumeration Date: 04/09/2010
Last Update Date: 01/09/2015

Medicare PECOS Information:

PECOS PAC ID: 7012137391
Enrollment ID: I20141008002549

Medical Identifiers

Medical identifiers for Latoya Shantel Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346566700	NPI	-	NPPES
2106252	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD.33558 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson Hospital & Clinic Inc	Montgomery, AL	Hospital
Baptist Medical Center South	Montgomery, AL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Hospital And Clinic, Inc	0547254153	139

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. Latoya Shantel Clark allows following entities to bill medicare on her behalf.

Entity Name	Jackson Hospital And Clinic, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971

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. Latoya Shantel 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
Latoya Shantel Clark, MD 1758 Park Pl, Suite 406, Montgomery, AL 36106-1127 Ph: (251) 716-4744	Latoya Shantel Clark, MD 1758 Park Pl, Suite 406, Montgomery, AL 36106-1127 Ph: (251) 716-4744

Reviews and Comments

Obstetrics & Gynecology Doctors in Montgomery, AL

Mr. Victor E Pena, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2455 Bell Rd, Montgomery, AL 36117 Phone: 334-747-8970 Fax: 334-747-8980
Dr. Gregory Allen Waller, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 495 Taylor Rd, Montgomery, AL 36117 Phone: 334-279-9333 Fax: 334-279-9381
Dr. Jennifer Joyce Logan, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 287 Mitylene Park Dr, Montgomery, AL 36117 Phone: 334-290-4200 Fax: 334-290-4190
Dr. Gregory Philip Jones, D.O., M.P.H Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 470 Taylor Rd, Suite 300, Montgomery, AL 36117 Phone: 334-281-1191 Fax: 334-281-1940
Dr. Arthur M Britton, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 470 Taylor Rd, Suite 300, Montgomery, AL 36117 Phone: 334-281-1191 Fax: 334-281-1940
Dr. Ralph M Garrard Jr., MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 287 Mitylene Park Dr, Montgomery, AL 36117 Phone: 334-290-4200 Fax: 334-290-4190
Benjamin C Griggs, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 495 Taylor Rd, Montgomery, AL 36117 Phone: 334-279-9333 Fax: 334-279-9057

Latoya Shantel Clark, MD - Medicare Obstetrics/gynecology in Montgomery, AL