| Mr Kevin S Clark, MMS, PA-C | |
|
4500 Memorial Dr, Belleville, IL 62226-5360 | |
| (618) 233-7750 | |
| Not Available |
| Full Name | Mr Kevin S Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 4500 Memorial Dr, Belleville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235370743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085003431 (Illinois) | Primary |
| 207P00000X | Emergency Medicine | 085003431 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Health Care Plan Inc | 9436201233 | 82 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kevin S Clark, MMS, PA-C 27 Geneva Dr, Caseyville, IL 62232-2263 Ph: (618) 365-6180 | Mr Kevin S Clark, MMS, PA-C 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 233-7750 |
Kim C Wrigley, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 340, Belleville, IL 62226 Phone: 618-234-9884 | |
Lance L Lane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 210, Belleville, IL 62226 Phone: 618-767-7700 | |
Miss Kristina Klaverkamp, MSPA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2810 Frank Scott Pkwy W Ste 716, Belleville, IL 62223 Phone: 618-355-0880 | |
Kevin Wilson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371 | |
Molly Claire Wade, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4600 Memorial Dr Ste 120, Belleville, IL 62226 Phone: 618-222-1020 | |
Jenna Dornak, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-233-7750 | |
Jean Schumaker, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 340 W Lincoln St, Suite 540, Belleville, IL 62220 Phone: 618-222-1341 Fax: 618-222-1487 |