Samantha Clark, MD - Medicare Obstetrics/gynecology in Orrville, OH

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Samantha Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Orrville, Ohio. She went to Northeastern Ohio University College Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Ohio Physician Professional Corporation, Orrville Hospital Foundation and her current practice location is 830 S Main St Ste 101, Orrville, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 684-4797.

Samantha Clark is licensed to practice in Ohio (license number 35.132336) 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 1699186841.

Contact Information

Samantha Clark, MD
830 S Main St Ste 101,
Orrville, OH 44667-2218
(330) 684-4797
(330) 684-4759

Map and Direction




Physician's Profile

Full NameSamantha Clark
GenderFemale
SpecialityObstetrics/gynecology
Experience11 Years
Location830 S Main St Ste 101, Orrville, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Clark attended and graduated from Northeastern Ohio University College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1699186841
  • Provider Enumeration Date: 05/09/2014
  • Last Update Date: 04/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224253810
  • Enrollment ID: I20181004001730

Medical Identifiers

Medical identifiers for Samantha Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699186841NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 35.132336 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aultman Orrville HospitalOrrville, OHHospital
Aultman HospitalCanton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ohio Physician Professional Corporation2668406059116
Orrville Hospital Foundation791189054675

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. Samantha Clark allows following entities to bill medicare on her behalf.
Entity NameOrrville Hospital Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891718375
PECOS PAC ID: 7911890546
Enrollment ID: O20040206000004
Entity NameOhio Physician Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417016973
PECOS PAC ID: 2668406059
Enrollment ID: O20050925000062

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. Samantha 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 AddressPractice Location Address
Samantha Clark, MD
7570 Boneta Rd,
Wadsworth, OH 44281-8403

Ph: (330) 419-1019		Samantha Clark, MD
830 S Main St Ste 101,
Orrville, OH 44667-2218

Ph: (330) 684-4797

Reviews and Comments


Obstetrics & Gynecology Doctors in Orrville, OH

Dr. Nicholas E Sherock Jr., D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Main St, #102, Orrville, OH 44667
Phone: 330-765-9104    Fax: 330-682-0747
Dr. Amelia E Laing, M.D. LTD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 830 S Main St Ste 102, Orrville, OH 44667
Phone: 330-765-9104    Fax: 330-682-0747

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.