Deandra L Clark, MD - Pediatrics in Anderson, SC

Deandra L Clark, MD is a Pediatrics physician based in Anderson, South Carolina. Deandra L Clark is licensed to practice in South Carolina (license number TL32184) and her current practice location is 500 N Fant St, Suite C, Anderson, South Carolina. She can be reached at her office (for appointments etc.) via phone at (864) 225-7798.

NPI number for Deandra L Clark is 1356315428 and her current mailing address is 500 N Fant St, Suite C, Anderson, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356315428.

Contact Information

Deandra L Clark, MD
500 N Fant St, Suite C,
Anderson, SC 29621-5702
(864) 225-7798
(864) 512-3952



Physician's Profile

Full NameDeandra L Clark
GenderFemale
SpecialityPediatrics
Location500 N Fant St, Anderson, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356315428
  • Provider Enumeration Date: 02/15/2006
  • Last Update Date: 04/27/2010

Medical Identifiers

Medical identifiers for Deandra L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356315428NPI-NPPES
258609600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics ME76610 (Florida)Secondary
208000000XPediatrics TL32184 (South Carolina)Primary

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. Deandra L Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Deandra L Clark, MD
500 N Fant St, Suite C,
Anderson, SC 29621-5702

Ph: (864) 225-7798
Deandra L Clark, MD
500 N Fant St, Suite C,
Anderson, SC 29621-5702

Ph: (864) 225-7798

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Pediatrics Doctors in Anderson, SC

Elzbieta W Syed, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2000 E Greenville St, Suite 4700, Anderson, SC 29621
Phone: 864-222-1891    Fax: 864-716-6172
James H Carson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 500 N Fant St, Suite C, Anderson, SC 29621
Phone: 864-512-3850    Fax: 864-512-3852
Dr. Rachel R Ford, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2000 E Greenville St Ste 3000, Anderson, SC 29621
Phone: 864-512-6760    Fax: 864-224-3773
Joseph Michael Stone Jr., MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 705 N Fant St, Anderson, SC 29621
Phone: 864-512-7034    Fax: 864-225-0837
Mrs. Mary B Hobbs, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 705 N Fant St, Anderson, SC 29621
Phone: 864-512-7034    Fax: 864-225-0837
Nancy Strom-morgan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2000 East Greensville Street, Suite 3000, Anderson, SC 29621
Phone: 864-224-1055    Fax: 864-224-3773

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