Mr Michael Lee Clark, PA-C - Medicare Physician Assistant in Greensboro, NC

  1. Home
  2. Physician Assistant
  3. NC
  4. Greensboro
Mr Michael Lee Clark, PA-C is a medicare enrolled "Physician Assistant" in Greensboro, North Carolina. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Duke University Affiliated Physicians, Inc. and his current practice location is 102 Pomona Dr, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 639-7913.

Mr Michael Lee Clark is licensed to practice in North Carolina (license number 0010-05954) 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 1538537774.

Contact Information

Mr Michael Lee Clark, PA-C
102 Pomona Dr,
Greensboro, NC 27407-1616
(910) 639-7913
Not Available

Map and Direction




Provider's Profile

Full NameMr Michael Lee Clark
GenderMale
SpecialityPhysician Assistant
Experience11 Years
Location102 Pomona Dr, Greensboro, North Carolina
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:
  • Mr Michael Lee Clark graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1538537774
  • Provider Enumeration Date: 09/04/2015
  • Last Update Date: 12/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9032410246
  • Enrollment ID: I20151214000229

Medical Identifiers

Medical identifiers for Mr Michael Lee Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538537774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0010-05954 (North Carolina)Primary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Duke University HospitalDurham, NCHospital
Duke Regional HospitalDurham, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Duke University Affiliated Physicians, Inc.3779489588452

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. Mr Michael Lee Clark allows following entities to bill medicare on his behalf.
Entity NameThe Moses H Cone Memorial Hospital Operating Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356372064
PECOS PAC ID: 6204744600
Enrollment ID: O20031124000541
Entity NameDuke University Affiliated Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316975972
PECOS PAC ID: 3779489588
Enrollment ID: O20031211000642
Entity NameAlamance Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326010273
PECOS PAC ID: 5294647145
Enrollment ID: O20040504000878
Entity NameMoses Cone Physician Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093953127
PECOS PAC ID: 4284782210
Enrollment ID: O20090501000202

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 Michael Lee 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
Mr Michael Lee Clark, PA-C
6001 Cole Mill Rd,
Durham, NC 27705-9232

Ph: (910) 639-7913		Mr Michael Lee Clark, PA-C
102 Pomona Dr,
Greensboro, NC 27407-1616

Ph: (910) 639-7913

Reviews and Comments


Physician Assistant Nurses in Greensboro, NC

Ms. Heather Joy Laisure, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5701 W Friendly Ave, Greensboro, NC 27410
Phone: 336-852-1915    Fax: 336-294-3544
Sara Heinz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 520 N Elam Ave, Greensboro, NC 27403
Phone: 336-547-1745    
Collin Fisher Hinnant, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 1121 N Church St, Greensboro, NC 27401
Phone: 336-207-7005    
Emma Maureen Collins, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2105 Braxton Ln, Suite 101, Greensboro, NC 27408
Phone: 336-333-6306    Fax: 336-333-6309
Irene Thomas Thayil, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 501 N Elam Ave, Greensboro, NC 27403
Phone: 336-832-1100    
Taylor Mackenzie Dale, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1313 Carolina St Ste 101, Greensboro, NC 27401
Phone: 336-275-0927    
Michael Carnaghi, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1915 Lendew St, Greensboro, NC 27408
Phone: 336-275-3325    Fax: 336-275-5346

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.