Dr Dwight Eugene Clark, OD - Medicare Optometrist in Rancho Cordova, CA

Dr Dwight Eugene Clark, OD is a medicare enrolled "Optometrist" provider in Rancho Cordova, California. His current practice location is 11216 Trinity River Drive, Rancho Cordova, California. You can reach out to his office (for appointments etc.) via phone at (916) 635-6161.

Dr Dwight Eugene Clark is licensed to practice in California (license number 5512) 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 1043321169.

Contact Information

Dr Dwight Eugene Clark, OD
11216 Trinity River Drive,
Rancho Cordova, CA 95670
(916) 635-6161
(916) 631-3788

Map and Direction




Healthcare Provider's Profile

Full NameDr Dwight Eugene Clark
GenderMale
SpecialityOptometrist
Location11216 Trinity River Drive, Rancho Cordova, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043321169
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 11/28/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4183812043
  • Enrollment ID: I20101220001104

Medical Identifiers

Medical identifiers for Dr Dwight Eugene Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043321169NPI-NPPES
SD0055120MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 5512 (California)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 Dwight Eugene Clark allows following entities to bill medicare on his behalf.
Provider NameJoseph R Martel Md Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1841326824
PECOS PAC ID: 0648225904
Enrollment ID: O20050318000789

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 Dwight Eugene 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
Dr Dwight Eugene Clark, OD
11216 Trinity River Drive,
Rancho Cordova, CA 95670

Ph: (916) 635-6161
Dr Dwight Eugene Clark, OD
11216 Trinity River Drive,
Rancho Cordova, CA 95670

Ph: (916) 635-6161

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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).

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