Tanner Cody Clark, MD - Medicare Diagnostic Radiology in Bedford, Nh 03110, NH

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Tanner Cody Clark, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Bedford, Nh 03110, New Hampshire. He went to University Of Washington School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southern New Hampshire Radiology Consultants Pc, Southern New Hampshire Radiology Consultants Pc and his current practice location is 703 Riverway Place, Bedford, Nh 03110, New Hampshire. You can reach out to his office (for appointments etc.) via phone at (603) 627-1661.

Tanner Cody Clark is licensed to practice in New Hampshire (license number 24268) 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 1689060139.

Contact Information

Tanner Cody Clark, MD
703 Riverway Place,
Bedford, Nh 03110, NH 03110
(603) 627-1661
(603) 669-6944

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Physician's Profile

Full NameTanner Cody Clark
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location703 Riverway Place, Bedford, Nh 03110, New Hampshire
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:
  • Tanner Cody Clark attended and graduated from University Of Washington School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1689060139
  • Provider Enumeration Date: 04/11/2015
  • Last Update Date: 09/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002129376
  • Enrollment ID: I20210720003658

Medical Identifiers

Medical identifiers for Tanner Cody Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689060139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology MD60961230 (Washington)Secondary
2085R0202XRadiology - Diagnostic Radiology 24268 (New Hampshire)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Elliot HospitalManchester, NHHospital
Southern Nh Medical CenterNashua, NHHospital
Catholic Medical CenterManchester, NHHospital
Speare Memorial HospitalPlymouth, NHHospital
Mary Hitchcock Memorial HospitalLebanon, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern New Hampshire Radiology Consultants Pc276943608835
Southern New Hampshire Radiology Consultants Pc276943608835

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. Tanner Cody Clark allows following entities to bill medicare on his behalf.
Entity NameDiagnostic Radiologists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053368563
PECOS PAC ID: 4183510902
Enrollment ID: O20170705003169
Entity NameSouthern New Hampshire Radiology Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780648915
PECOS PAC ID: 2769436088
Enrollment ID: O20240130003689

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. Tanner Cody 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
Tanner Cody Clark, MD
703 Riverway Place,
Bedford, Nh 03110, NH 03110

Ph: (603) 627-1661		Tanner Cody Clark, MD
703 Riverway Place,
Bedford, Nh 03110, NH 03110

Ph: (603) 627-1661

Reviews and Comments


Radiology Doctors in Bedford, Nh 03110, NH


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.