| Steven Lester Clark, MD | |
|
4586 E Highway 20, Suite B, Niceville, FL 32578-9724 | |
| (850) 897-3200 | |
| (850) 897-2353 |
| Full Name | Steven Lester Clark |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 4586 E Highway 20, Niceville, Florida |
| 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 |
|---|---|---|---|
| 1124125505 | NPI | - | NPPES |
| 002577400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME88544 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trilogy Home Healthcare | Jacksonville, FL | Home health agency |
| Brooks Rehabilitation Home Health | Jacksonville, FL | Home health agency |
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventhealth Primary Care Network Inc | 1557722410 | 366 |
| Ability Health Services, Inc | 4082523329 | 896 |
| Ability Health Services And Rehabilitation Lp | 4981986288 | 904 |
| Entity Name | Adventhealth Primary Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093493637 PECOS PAC ID: 1557722410 Enrollment ID: O20230725004134 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Lester Clark, MD Po Box 2699, Pensacola, FL 32513-2699 Ph: (850) 897-3200 | Steven Lester Clark, MD 4586 E Highway 20, Suite B, Niceville, FL 32578-9724 Ph: (850) 897-3200 |
Ms. Julie Anne Staats, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Partin Dr N, Ste 120, Niceville, FL 32578 Phone: 850-279-3040 | |
Dr. Pat Thomas Tidwell, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4400 E Highway 20 Ste 203, Niceville, FL 32578 Phone: 850-897-3678 Fax: 850-373-4544 | |
Dr. Allan L. Fedosky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4554 E Highway 20, Niceville, FL 32578 Phone: 850-897-1824 Fax: 850-897-1827 | |
Wayne P Justice, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1003 College Blvd W, Ste 2, Niceville, FL 32578 Phone: 850-678-0443 Fax: 850-678-7999 | |
Dr. Mark Steven Harber, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 John Sims Pkwy E, Niceville, FL 32578 Phone: 850-729-8050 | |
Margaret Lynn Laforge, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 E Highway 20, Niceville, FL 32578 Phone: 715-490-2095 |