Seth Clark, - Medicare Addiction Medicine in Providence, RI

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Seth Clark, is a medicare enrolled "Internal Medicine - Addiction Medicine" physician in Providence, Rhode Island. He went to University Of Texas Medical Branch At Galveston and graduated in 2014 and has 11 years of diverse experience with area of expertise as Addiction Medicine. He is a member of the group practice Lifespan Physician Group Inc, Rhode Island Hospital and his current practice location is 200 Corliss St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 606-8530.

Seth Clark is licensed to practice in Rhode Island (license number MD15837) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801208798.

Contact Information

Seth Clark,
200 Corliss St,
Providence, RI 02904
(401) 606-8530
(401) 606-8549

Map and Direction




Physician's Profile

Full NameSeth Clark
GenderMale
SpecialityAddiction Medicine
Experience11 Years
Location200 Corliss St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Seth Clark attended and graduated from University Of Texas Medical Branch At Galveston in 2014
  NPI Data:
  • NPI Number: 1801208798
  • Provider Enumeration Date: 05/27/2014
  • Last Update Date: 06/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870710213
  • Enrollment ID: I20170626001451

Medical Identifiers

Medical identifiers for Seth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801208798NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD15837 (Rhode Island)Secondary
207RA0401XInternal Medicine - Addiction Medicine MD15837 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rhode Island HospitalProvidence, RIHospital
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082669
Rhode Island Hospital8921900044349

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. Seth Clark allows following entities to bill medicare on his behalf.
Entity NameBrown Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689626764
PECOS PAC ID: 0446159776
Enrollment ID: O20040219000354
Entity NameGateway Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821078932
PECOS PAC ID: 7719874908
Enrollment ID: O20040302001066
Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548506793
PECOS PAC ID: 2567455082
Enrollment ID: O20130528000089
Entity NameRhode Island Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154537520
PECOS PAC ID: 8921900044
Enrollment ID: O20141017000105

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. Seth 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
Seth Clark,
117 Ellenfield St Ste 101,
Providence, RI 02905-4513

Ph: (401) 444-6779		Seth Clark,
200 Corliss St,
Providence, RI 02904

Ph: (401) 606-8530

Reviews and Comments


Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO
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Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7597
Martha Catherine Trimbur, MD
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Practice Location: 245 Chapman St Ste 300, Providence, RI 02905
Phone: 401-444-4741    Fax: 401-444-4445
Karl Herman, M.D.
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Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Muhammad Baig, M.D.
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Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906
Phone: 401-793-4489    Fax: 401-793-4047
Gary M Katzman, MD
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Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904
Phone: 401-793-7191    Fax: 401-793-7200
Thomas Fairweather Crain, MD
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Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-4630    
James Atkinson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 164 Summit Ave, Providence, RI 02906
Phone: 401-793-4500    

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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.

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