Dr Annemarie B Clark, DO - Medicare Obstetrics/gynecology in Bucyrus, OH

Dr Annemarie B Clark, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Bucyrus, Ohio. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2006 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice North Central Ohio Family Care Center Inc and her current practice location is 512 Hill St, Bucyrus, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 563-9875.

Dr Annemarie B Clark is licensed to practice in Ohio (license number 34.009695) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366651804.

Contact Information

Dr Annemarie B Clark, DO
512 Hill St,
Bucyrus, OH 44820-1554
(419) 563-9875
Not Available



Physician's Profile

Full NameDr Annemarie B Clark
GenderFemale
SpecialityObstetrics/gynecology
Experience18 Years
Location512 Hill St, Bucyrus, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Annemarie B Clark attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2006
  NPI Data:
  • NPI Number: 1366651804
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 12/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486824786
  • Enrollment ID: I20110824000252

Medical Identifiers

Medical identifiers for Dr Annemarie B Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366651804NPI-NPPES
0050517MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34.009695 (Ohio)Primary
207V00000XObstetrics & Gynecology 58-002245 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Galion Community HospitalGalion, OHHospital
Bucyrus Community HospitalBucyrus, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Central Ohio Family Care Center Inc3274437082179

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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. Dr Annemarie B Clark allows following entities to bill medicare on her behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532

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Entity NameNorth Central Ohio Family Care Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689822827
PECOS PAC ID: 3274437082
Enrollment ID: O20031124000232

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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. Dr Annemarie B 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 Annemarie B Clark, DO
700 N Columbus St,
Crestline, OH 44827-1455

Ph: (419) 563-9875
Dr Annemarie B Clark, DO
512 Hill St,
Bucyrus, OH 44820-1554

Ph: (419) 563-9875

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Obstetrics & Gynecology Doctors in Bucyrus, OH

Dr. Dong Wook Shin, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 900 S Spring St, Bucyrus, OH 44820
Phone: 419-562-1312    

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