Sandra Hewitt Clark, MD - Medicare Pathology in Raleigh, NC

Sandra Hewitt Clark, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Raleigh, North Carolina. Her current practice location is 3000 New Bern Ave, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 350-8260.

Sandra Hewitt Clark is licensed to practice in Kansas (license number 0429705) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558310201.

Contact Information

Sandra Hewitt Clark, MD
3000 New Bern Ave,
Raleigh, NC 27610-1231
(919) 350-8260
Not Available

Map and Direction




Physician's Profile

Full NameSandra Hewitt Clark
GenderFemale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location3000 New Bern Ave, Raleigh, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558310201
  • Provider Enumeration Date: 05/09/2006
  • Last Update Date: 03/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062423155
  • Enrollment ID: I20200118000043

Medical Identifiers

Medical identifiers for Sandra Hewitt Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558310201NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 0429705 (Kansas)Primary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 22905 (Oklahoma)Secondary

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. Sandra Hewitt Clark allows following entities to bill medicare on her behalf.
Entity NameRaleigh Pathology Laboratory Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821043274
PECOS PAC ID: 6305881541
Enrollment ID: O20050628000330
Entity NameWake Medical Laboratory Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477704443
PECOS PAC ID: 0446312557
Enrollment ID: O20081229000029
Entity NameEcu Physicians Diagnostic Pathology Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558695288
PECOS PAC ID: 8325181167
Enrollment ID: O20100202000776

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. Sandra Hewitt 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
Sandra Hewitt Clark, MD
3600 E Harry St,
Wichita, KS 67218-3713

Ph: (316) 268-5000
Sandra Hewitt Clark, MD
3000 New Bern Ave,
Raleigh, NC 27610-1231

Ph: (919) 350-8260

Reviews and Comments


Pathology Doctors in Raleigh, NC

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Dr. Ryan Christopher Johnson, M.D.
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Dr. Charles Hutchinson, M.D.
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Susan Venuti, M.D.
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Dr. Michael Andrew Huening, M.D., PH.D.
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Practice Location: 3000 New Bern Ave, Raleigh, NC 27610
Phone: 919-350-8260    Fax: 919-350-8232
Elsa Mondou,
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Practice Location: 6008 Bunchberry Ct, Raleigh, NC 27616
Phone: 919-624-7880    

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.