Mr John Clarke, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Massillon, Ohio. His current practice location is
8012 Glendevan St Nw, Massillon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(504) 717-9733.
Mr John Clarke is licensed to practice in Ohio (license number 35.144215) 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 1689888422.
Physician's Profile
Full Name | Mr John Clarke |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 8012 Glendevan St Nw, Massillon, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689888422
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 05/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870862303
- Enrollment ID: I20220707001982
Medical Identifiers
Medical identifiers for Mr John Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689888422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 125070699 (Illinois) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 35.144215 (Ohio) | 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. Mr John Clarke allows following entities to bill medicare on his behalf.
Entity Name | Radiology Associates Of Canton Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912982034 PECOS PAC ID: 7012829260 Enrollment ID: O20031105000231 |
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Entity Name | Orrville Hospital Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891718375 PECOS PAC ID: 7911890546 Enrollment ID: O20040206000004 |
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Entity Name | Columbus Radiology Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669408159 PECOS PAC ID: 6507754983 Enrollment ID: O20040308000742 |
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Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
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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. Mr John Clarke 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 |
Mr John Clarke, MD 8012 Glendevan St Nw, Massillon, OH 44646-9017 Ph: (504) 717-9733 | Mr John Clarke, MD 8012 Glendevan St Nw, Massillon, OH 44646-9017 Ph: (504) 717-9733 |
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