Sue Clark, MD - Medicare Pediatrics in Peoria, IL

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Sue Clark, MD is a medicare enrolled "Pediatrics - Developmental - Behavioral Pediatrics" physician in Peoria, Illinois. Her current practice location is 507 E Armstrong Ave, Regional Development Center, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 681-6960.

Sue Clark is licensed to practice in Illinois (license number ) 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 1174597371.

Contact Information

Sue Clark, MD
507 E Armstrong Ave, Regional Development Center,
Peoria, IL 61603-3201
(309) 681-6960
Not Available

Map and Direction




Physician's Profile

Full NameSue Clark
GenderFemale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
Location507 E Armstrong Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174597371
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9234372285
  • Enrollment ID: I20130823000734

Medical Identifiers

Medical identifiers for Sue Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174597371NPI-NPPES
07215036OtherILBCBS
IL01Z4OtherILJOHN DEERE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics (Illinois)Primary

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. Sue Clark allows following entities to bill medicare on her behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158

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. Sue 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
Sue Clark, MD
1 Illini Dr,
Peoria, IL 61605-2576

Ph: (309) 671-8503		Sue Clark, MD
507 E Armstrong Ave, Regional Development Center,
Peoria, IL 61603-3201

Ph: (309) 681-6960

Reviews and Comments


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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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