Michael A Clark, PA - Medicare Physician Assistant in Austell, GA

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Michael A Clark, PA is a medicare enrolled "Physician Assistant" in Austell, Georgia. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 2010 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice The Emory Clinic Inc and his current practice location is 3950 Austell Rd, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 732-5000.

Michael A Clark is licensed to practice in Georgia (license number 6072) 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 1457659773.

Contact Information

Michael A Clark, PA
3950 Austell Rd,
Austell, GA 30106-1121
(770) 732-5000
Not Available

Map and Direction




Provider's Profile

Full NameMichael A Clark
GenderMale
SpecialityPhysician Assistant
Experience16 Years
Location3950 Austell Rd, Austell, Georgia
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:
  • Michael A Clark attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 2010
  NPI Data:
  • NPI Number: 1457659773
  • Provider Enumeration Date: 03/10/2011
  • Last Update Date: 09/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254516156
  • Enrollment ID: I20110419000376

Medical Identifiers

Medical identifiers for Michael A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457659773NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 6072 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Emory University Hospital MidtownAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Emory Clinic Inc88209014083507

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. Michael A Clark allows following entities to bill medicare on his behalf.
Entity NameThe Emory Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503
Entity NameLagrange Emergency Physicians, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760437560
PECOS PAC ID: 0840207072
Enrollment ID: O20060314000271
Entity NameEmory Specialty Associates, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447
Entity NameThe Bortolazzo Group, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015
Entity NameNorth Fulton Emergency Physicians, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053456954
PECOS PAC ID: 6800981986
Enrollment ID: O20071004000272
Entity NameWellstar Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374
Entity NamePiedmont Ed Professionals LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932477429
PECOS PAC ID: 1759543176
Enrollment ID: O20120501000744
Entity NameGeorgia Emergency Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952746638
PECOS PAC ID: 4082853262
Enrollment ID: O20130619000316

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. Michael A 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
Michael A Clark, PA
5665 New Northside Dr Nw, Suite 320,
Atlanta, GA 30328-5831

Ph: (770) 874-5468		Michael A Clark, PA
3950 Austell Rd,
Austell, GA 30106-1121

Ph: (770) 732-5000

Reviews and Comments


Physician Assistant Nurses in Austell, GA

Mrs. Lauren S Snyder, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Hospital South Dr Ste 300, Austell, GA 30106
Phone: 770-944-2830    Fax: 678-581-7170
Madison Mckenzie Akin, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Ms. Melissa Anne Martel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 770-732-4000    
Mr. Jeffrey N Hairston, PA-C
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Medicare: Not Enrolled in Medicare
Practice Location: 2041 Mesa Valley Way, Suite 100, Austell, GA 30106
Phone: 770-944-1100    Fax: 770-941-7227
Lauren Cannon,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3950 Austell Rd, Austell, GA 30106
Phone: 706-863-9595    Fax: 706-868-8375
Bethany Bixler Quinn, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3820 Medical Park Dr, Austell, GA 30106
Phone: 770-948-6041    Fax: 770-819-2987
Douglas A. Hernandez, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 2041 Mesa Valley Way Ste 100, Austell, GA 30106
Phone: 770-944-1100    

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.