| Robert T Clark Jr, MD | |
|
715 Southwind Dr, Junction City, KS 66441-9021 | |
| (785) 209-3779 | |
| (785) 209-3780 |
| Full Name | Robert T Clark Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 715 Southwind Dr, Junction City, Kansas |
| 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 |
|---|---|---|---|
| 1811903560 | NPI | - | NPPES |
| 30004083830004 | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M3194 (Texas) | Secondary |
| 207Q00000X | Family Medicine | 40537 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 04-34214 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Victory Clinic Llc | 8729459607 | 4 |
| Entity Name | Edwards County Hospital And Healthcare Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649372012 PECOS PAC ID: 2264343383 Enrollment ID: O20040305000254 |
| Entity Name | Williams Medical Group Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20160518000391 |
| Entity Name | Victory Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104540079 PECOS PAC ID: 8729459607 Enrollment ID: O20230201001812 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert T Clark Jr, MD 715 Southwind Dr, Junction City, KS 66441-9021 Ph: (785) 209-3779 | Robert T Clark Jr, MD 715 Southwind Dr, Junction City, KS 66441-9021 Ph: (785) 209-3779 |
Mary K Gooch, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1169 Southwind Dr, Junction City, KS 66441 Phone: 785-350-4670 Fax: 785-350-4688 | |
Teran Ray Naccarato, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Saint Marys Rd, Junction City, KS 66441 Phone: 785-762-2585 Fax: 785-238-5450 | |
Dr. Todd A Frieze, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 361 Grant Ave, Junction City, KS 66441 Phone: 785-238-4711 Fax: 785-530-6150 | |
Dr. Eric Hazbun, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 Saint Marys Rd, Junction City, KS 66441 Phone: 785-238-0325 | |
John D. Kovac, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1228 Miller Dr, Junction City, KS 66441 Phone: 424-634-9439 | |
Cayle L Goertzen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 361 Grant Ave, Junction City, KS 66441 Phone: 785-238-4711 | |
Dustie Angela Samuels, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 361 Grant Ave, Junction City, KS 66441 Phone: 852-384-7117 |