William D Clark, MD in Dearborn, MI

William D Clark, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Dearborn, Michigan. His current practice location is 18101 Oakwood Blvd Ste 124, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 586-5011.

William D Clark is licensed to practice in Michigan (license number 4301068667) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922096718.

Contact Information

	William D Clark, MD
	18101 Oakwood Blvd Ste 124, Dearborn, MI 48124-4089
	(313) 586-5011
	(313) 592-7134

Map and Direction

Physician's Profile

Full Name	William D Clark
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	18101 Oakwood Blvd Ste 124, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922096718
Provider Enumeration Date: 10/06/2005
Last Update Date: 02/20/2024

Medicare PECOS Information:

PECOS PAC ID: 7517272982
Enrollment ID: I20150813010705

Medical Identifiers

Medical identifiers for William D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922096718	NPI	-	NPPES
4577146	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	4301068667 (Michigan)	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. William D Clark allows following entities to bill medicare on his behalf.

Entity Name	Ascension Providence Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326

Entity Name	Ascension St John Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043478910 PECOS PAC ID: 3173424082 Enrollment ID: O20040115000409

Entity Name	Oakwood Ambulatory Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003829441 PECOS PAC ID: 1850282914 Enrollment ID: O20040320000401

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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. William D 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 Address	Practice Location Address
William D Clark, MD 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: () -	William D Clark, MD 18101 Oakwood Blvd Ste 124, Dearborn, MI 48124-4089 Ph: (313) 586-5011

Reviews and Comments

Pediatrics Doctors in Dearborn, MI

Mohamed Fakih, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2547 Monroe St, Dearborn, MI 48124 Phone: 313-745-4195
Mrs. Kingkhan Boriboon, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3850 Pelham St, Dearborn, MI 48124 Phone: 313-562-9500 Fax: 313-562-7567
Rannan Kased, D.O Pediatrics Medicare: Medicare Enrolled Practice Location: 4700 Schaefer Rd Ste 245255, Dearborn, MI 48126 Phone: 313-561-5100 Fax: 313-565-0309
Dr. Doss Nicolas Doss, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 5500 Auto Club Dr, Dearborn, MI 48126 Phone: 313-425-4700
Saba Javaid, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19401 Hubbard Dr, Dearborn, MI 48126 Phone: 313-982-4400
Kathleen B. Blumer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Henry Ford Health System, 19401 Hubbard Drive, Dearborn, MI 48126 Phone: 313-982-8330 Fax: 313-982-8294
Dr. Azmathullah Khan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4700 Greenfield Rd, Dearborn, MI 48126 Phone: 313-945-6100 Fax: 313-945-5260

William D Clark, MD - Medicare Pediatrics in Dearborn, MI