| Michael L Clark, MD | |
|
596 W Main St, Wilmington, OH 45177-2123 | |
| (937) 283-2588 | |
| (937) 283-2594 |
| Full Name | Michael L Clark |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 35 Years |
| Location | 596 W Main St, Wilmington, 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 |
|---|---|---|---|
| 1114988540 | NPI | - | NPPES |
| 0969420 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 35062520C (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adena Medical Group Llc | 1153456579 | 346 |
| Entity Name | University Of Cincinnati Physicians Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Highland Health Providers Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396702445 PECOS PAC ID: 0244257848 Enrollment ID: O20051101001066 |
| Entity Name | Adena Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235468083 PECOS PAC ID: 1153456579 Enrollment ID: O20100323001007 |
| Entity Name | Wilmington Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932401411 PECOS PAC ID: 4688853419 Enrollment ID: O20110126000617 |
| Entity Name | Five Rivers Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104115823 PECOS PAC ID: 9335300904 Enrollment ID: O20120409000638 |
| Entity Name | Mount Carmel Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457617235 PECOS PAC ID: 6709793367 Enrollment ID: O20120727000563 |
| Entity Name | Pediatrix Medical Group Of Ohio Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467559179 PECOS PAC ID: 2365672730 Enrollment ID: O20140304000984 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael L Clark, MD 610 W Main St, Wilmington, OH 45177-2125 Ph: (937) 283-9815 | Michael L Clark, MD 596 W Main St, Wilmington, OH 45177-2123 Ph: (937) 283-2588 |
Carrie Cooper-fenske Sanan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 596 W Main St, Wilmington, OH 45177 Phone: 937-283-2588 | |
Stephany A George, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2241 Rombach Ave, Wilmington, OH 45177 Phone: 937-283-2588 | |
Dr. John William Merling, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Shaun Patrick Jester, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2241 Rombach Ave, Wilmington, OH 45177 Phone: 937-283-2588 | |
Dr. Tina M Gabbard, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1184 W Locust St, Wilmington, OH 45177 Phone: 937-382-1616 Fax: 937-382-7877 | |
Rajiv R Patel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 630 W Main St Ste 102, Wilmington, OH 45177 Phone: 937-283-2588 Fax: 937-283-2594 |