| Leo Jp Clark, MD | |
|
5705 Monclova Rd, Suite 204, Maumee, OH 43537-1875 | |
| (419) 891-8045 | |
| (419) 891-8044 |
| Full Name | Leo Jp Clark |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 56 Years |
| Location | 5705 Monclova Rd, Maumee, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659374007 | NPI | - | NPPES |
| 318954 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 35039317C (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4382 |
| Arnett Clinic Llc | 0749184380 | 401 |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Arnett Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Iu Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Jp Clark, MD 1 Seagate, Suite 800, Toledo, OH 43604-1558 Ph: (567) 585-1983 | Leo Jp Clark, MD 5705 Monclova Rd, Suite 204, Maumee, OH 43537-1875 Ph: (419) 891-8045 |
Dr. Brian F Hoeflinger, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5757 Monclova Rd Ste 15, Maumee, OH 43537 Phone: 419-479-5590 Fax: 419-473-8893 |