Dr Douglas Curtis Clark, OD in Pelham, AL - Medicare Optometrist Provider

Dr Douglas Curtis Clark, OD is a medicare enrolled "Optometrist" provider in Pelham, Alabama. His current practice location is 2617 Highway 31 S, Pelham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 664-1575.

Dr Douglas Curtis Clark is licensed to practice in Alabama (license number S-502-TA-105) 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 1134111511.

Contact Information

	Dr Douglas Curtis Clark, OD
	2617 Highway 31 S, Pelham, AL 35124-1322
	(205) 664-1575
	(205) 664-1578

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Douglas Curtis Clark
Gender	Male
Speciality	Optometrist
Location	2617 Highway 31 S, Pelham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134111511
Provider Enumeration Date: 08/22/2005
Last Update Date: 06/10/2008

Medicare PECOS Information:

PECOS PAC ID: 9234236985
Enrollment ID: I20101217000878

Medical Identifiers

Medical identifiers for Dr Douglas Curtis Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134111511	NPI	-	NPPES
T69158	Other	AL	UNITED HEALTHCARE
T69158	Other	AL	HEALTHSPRING
009933955	Medicaid	AL
51505623	Other	AL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	S-502-TA-105 (Alabama)	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. Dr Douglas Curtis Clark allows following entities to bill medicare on his behalf.

Provider Name	Myeyedr Optometry Of Alabama Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770093551 PECOS PAC ID: 0840559878 Enrollment ID: O20180118002553

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. Dr Douglas Curtis 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
Dr Douglas Curtis Clark, OD 2617 Highway 31 S, Pelham, AL 35124-1322 Ph: (205) 664-1575	Dr Douglas Curtis Clark, OD 2617 Highway 31 S, Pelham, AL 35124-1322 Ph: (205) 664-1575

Reviews and Comments

Optometrist in Pelham, AL

Eyecare Associates, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3429 Pelham Pkwy, Pelham, AL 35124 Phone: 205-663-3937
Alena V Samal, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2617 Highway 31 S, Pelham, AL 35124 Phone: 205-664-1575 Fax: 205-533-9746
West Point Optical Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 Huntley Pkwy, Pelham, AL 35124 Phone: 205-624-2015
Kye L Mansfield, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3429 Pelham Pkwy, Pelham, AL 35124 Phone: 205-663-3937
Dr. Kai Rinkowski, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2181 Pelham Parkway, Pelham, AL 35124 Phone: 205-987-0156 Fax: 205-987-0515
Rena C Lewis, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2617 Highway 31 S, Pelham, AL 35124 Phone: 205-664-1575

Dr Douglas Curtis Clark, OD - Medicare Optometrist in Pelham, AL