Mallory Clark, OD in Ocean Springs, MS - Medicare Optometrist Provider

Mallory Clark, OD is a medicare enrolled "Optometrist" provider in Ocean Springs, Mississippi. Her current practice location is 3430 Bienville Blvd, Ocean Springs, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 875-3318.

Mallory Clark is licensed to practice in Mississippi (license number 1100) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215776091.

Contact Information

	Mallory Clark, OD
	3430 Bienville Blvd, Ocean Springs, MS 39564-5732
	(228) 875-3318
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mallory Clark
Gender	Female
Speciality	Optometrist
Location	3430 Bienville Blvd, Ocean Springs, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215776091
Provider Enumeration Date: 05/22/2024
Last Update Date: 09/03/2024

Medicare PECOS Information:

PECOS PAC ID: 1153869615
Enrollment ID: I20240814004396

Medical Identifiers

Medical identifiers for Mallory Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215776091	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1100 (Mississippi)	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. Mallory Clark allows following entities to bill medicare on her behalf.

Provider Name	Brown Eyed Girls Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811770696 PECOS PAC ID: 5496105439 Enrollment ID: O20240103001386

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. Mallory 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
Mallory Clark, OD 530 Mockingbird Dr, Long Beach, MS 39560-3100 Ph: () -	Mallory Clark, OD 3430 Bienville Blvd, Ocean Springs, MS 39564-5732 Ph: (228) 875-3318

Reviews and Comments

Optometrist in Ocean Springs, MS

Roderick D Fields, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9359 Taylor Pl, Ocean Springs, MS 39564 Phone: 228-867-8311 Fax: 228-460-5099
Michael Frederick Quint, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2510 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-875-3318 Fax: 228-875-3398
Eyedok Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2510 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-875-3318 Fax: 228-875-3398
Dr. Janice Lee Jacobs, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2510 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-875-3318 Fax: 228-875-3398
Patricia R O'kelley-hughes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2510 Bienville Blvd, Ocean Springs, MS 36564 Phone: 228-875-3318 Fax: 228-875-3398
Kathryn Naomi Latch, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3420 Bienville Blvd, Ocean Springs, MS 39564 Phone: 228-875-3937 Fax: 228-875-3930

Mallory Clark, OD - Medicare Optometrist in Ocean Springs, MS