Donald Clark Iii, MD - Medicare Cardiovascular Disease (cardiology) in Jackson, MS

Donald Clark Iii, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Jackson, Mississippi. He went to University Of Mississippi School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center, Och Cardiology and his current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-1000.

Donald Clark Iii is licensed to practice in Mississippi (license number 25138) 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 1821315011.

Contact Information

Donald Clark Iii, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 984-1000
Not Available



Physician's Profile

Full NameDonald Clark Iii
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience14 Years
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Donald Clark Iii attended and graduated from University Of Mississippi School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1821315011
  • Provider Enumeration Date: 04/27/2010
  • Last Update Date: 04/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0244476935
  • Enrollment ID: I20170915002527

Medical Identifiers

Medical identifiers for Donald Clark Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821315011NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 25138 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Mississippi Med CenterJackson, MSHospital
Och Regional Medical CenterStarkville, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State Of Mississippi - University Of Mississippi Medical Center1850293036804
Och Cardiology74163717525

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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. Donald Clark Iii allows following entities to bill medicare on his behalf.
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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Entity NameOch Cardiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376165027
PECOS PAC ID: 7416371752
Enrollment ID: O20200721000453

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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. Donald Clark Iii 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
Donald Clark Iii, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-1000
Donald Clark Iii, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-1000

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Internal Medicine Doctors in Jackson, MS

Graves Crawley Stubblefield Jr., M.D.
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 406 Briarwood Dr, Jackson, MS 39206
Phone: 601-991-1933    Fax: 601-978-3844
Dr. Rebecca Chick Pace, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202
Phone: 601-352-2273    Fax: 601-714-3415
Jewelian Akbar Baig, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 971 Lakeland Dr Ste 356, Jackson, MS 39216
Phone: 601-200-4644    Fax: 601-200-4645
Jo P Deal, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 766 Lakeland Dr # A, Jackson, MS 39216
Phone: 601-368-3440    Fax: 601-368-3441
Caryl P. Sumrall, FNP
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 2500 North State Street, Department Of Medicine/division Of General Internal Med, Jackson, MS 39216
Phone: 601-984-5660    
Meghan Alford Luter, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5532    
Tammy H Young, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1227 N State St, Ste 101, Jackson, MS 39202
Phone: 601-355-2485    Fax: 601-353-1463

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