Mr Gary Wayne Clarkson Jr, PA - C is a medicare enrolled "Physician Assistant" in Ft. Drum, New York. He graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Samaritan Medical Center and his current practice location is
Guthrie Usa Meddac, 11050 Mount Belvedere Blvd, Ft. Drum, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 772-3225.
Mr Gary Wayne Clarkson Jr is licensed to practice in * (Not Available) (license number ) 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 1841488376.
Provider's Profile
| Full Name | Mr Gary Wayne Clarkson Jr |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 19 Years |
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| Location | Guthrie Usa Meddac, Ft. Drum, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Gary Wayne Clarkson Jr graduated from nursing school in 2007
NPI Data:
- NPI Number: 1841488376
- Provider Enumeration Date: 10/10/2007
- Last Update Date: 06/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567768542
- Enrollment ID: I20160317001178
Medical Identifiers
Medical identifiers for Mr Gary Wayne Clarkson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841488376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 018632 (New York) | Secondary |
| 363AM0700X | Physician Assistant - Medical | C0003621 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Samaritan Medical Center | 8123914876 | 138 |
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. Mr Gary Wayne Clarkson Jr 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 |
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Mr Gary Wayne Clarkson Jr, PA - C
Guthrie Usa Meddac, 11050 Mount Belvedere Blvd,
Ft. Drum, NY 13602
Ph: (315) 772-3225 | Mr Gary Wayne Clarkson Jr, PA - C
Guthrie Usa Meddac, 11050 Mount Belvedere Blvd,
Ft. Drum, NY 13602
Ph: (315) 772-3225 |
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