Dexter D Clark, DO in Marquette, MI - Medicare Family Practice

Dexter D Clark, DO is a medicare enrolled "Family Medicine" physician in Marquette, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dlp Marquette Physician Practices Inc and his current practice location is 1414 W Fair Ave, Suite 36, Marquette, Michigan. You can reach out to his office (for appointments etc.) via phone at (906) 225-3867.

Dexter D Clark is licensed to practice in Michigan (license number 5101023137) 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 1265967665.

Contact Information

	Dexter D Clark, DO
	1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675
	(906) 225-3867
	Not Available

Physician's Profile

Full Name	Dexter D Clark
Gender	Male
Speciality	Family Practice
Experience	7 Years
Location	1414 W Fair Ave, Marquette, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dexter D Clark attended and graduated from Michigan State University College Of Osteopathic Medicine in 2017

NPI Data:

NPI Number: 1265967665
Provider Enumeration Date: 04/24/2017
Last Update Date: 10/19/2020

Medicare PECOS Information:

PECOS PAC ID: 0547536641
Enrollment ID: I20200604000942

Medical Identifiers

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

Identifier	Type	State	Issuer
1265967665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101023137 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marquette General Hospital	Marquette, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dlp Marquette Physician Practices Inc	9931359601	149

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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. Dexter D Clark allows following entities to bill medicare on his behalf.

Entity Name	Dlp Marquette Physician Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312

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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. Dexter D 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
Dexter D Clark, DO Po Box 13811, Belfast, ME 04915-4029 Ph: (906) 225-3630	Dexter D Clark, DO 1414 W Fair Ave, Suite 36, Marquette, MI 49855-2675 Ph: (906) 225-3867

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Family Medicine Doctors in Marquette, MI

Spring L Madosh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 107 W Main St, Marquette, MI 49855 Phone: 906-225-3988 Fax: 906-225-4707
Lyle J Vanderschaaf, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 420 W Magnetic St, Suite Er, Marquette, MI 49855 Phone: 888-674-0854 Fax: 906-225-3370
Kathryn Lerche, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave, Suite 36, Marquette, MI 49855 Phone: 906-225-3864
Thomas Kates, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Ave Ste 249, Marquette, MI 49855 Phone: 906-449-2900 Fax: 906-372-3230
Dr. Cynthia K Lack, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 425 Fisher St, Marquette, MI 49855 Phone: 906-226-4618 Fax: 906-226-5317
Siddhesh Ramesh Lotlikar, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 W Fair Avenue, Suite 36, Marquette, MI 49855 Phone: 906-225-3864 Fax: 906-225-3851
Dr. Kayleen P Papin, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1401 Presque Isle Avenue, Health Center, Marquette, MI 49855 Phone: 906-227-2355 Fax: 906-227-2332

Dexter D Clark, DO - Medicare Family Practice in Marquette, MI

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

New TB vaccines could protect all strains

Jumpstart and Portal Capital invest $500,000 in TheraVasc for PAD drug

1.5 million children suffering from diarrhoea can be saved every year with the right treatment

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Medicare Reassignments

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Jumpstart and Portal Capital invest $500,000 in TheraVasc for PAD drug

1.5 million children suffering from diarrhoea can be saved every year with the right treatment

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Family Medicine Doctors in Marquette, MI