Dr Charles Edward Clark, MD - Medicare Family Medicine in Bristol, VT

Dr Charles Edward Clark, MD is a medicare enrolled "Family Medicine" physician in Bristol, Vermont. His current practice location is 74 Munsill Ave, Suite 100, Bristol, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 453-5028.

Dr Charles Edward Clark is licensed to practice in Vermont (license number 0420006979) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609912427.

Contact Information

Dr Charles Edward Clark, MD
74 Munsill Ave, Suite 100,
Bristol, VT 05443-1032
(802) 453-5028
(802) 453-6105



Physician's Profile

Full NameDr Charles Edward Clark
GenderMale
SpecialityFamily Medicine
Location74 Munsill Ave, Bristol, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609912427
  • Provider Enumeration Date: 01/29/2007
  • Last Update Date: 09/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4688734072
  • Enrollment ID: I20081114000372

Medical Identifiers

Medical identifiers for Dr Charles Edward Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609912427NPI-NPPES
VT5630MedicaidVT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0420006979 (Vermont)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. Dr Charles Edward Clark allows following entities to bill medicare on his behalf.
Entity NameFive-town Health Alliance, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871840843
PECOS PAC ID: 9638321342
Enrollment ID: O20121204000030

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Medical Marijuana purchases 20 acres of prime mountain valley property in Southern California

Medical Marijuana, Inc. announces today the purchase of 20 acres of prime mountain valley property in Southern California intended to be used within strict governmental guidelines as a research facility targeting medical Cannabis strains specific to a wide range of medical conditions.

Israeli researchers establish novel optogenetic method for cardiac pacing and resynchronization

Israeli researchers have successfully established a new approach for pacing the heart and synchronizing its mechanical activity without the use of a conventional electrical pacemaker. This novel biologic strategy employs light-sensitive genes that can be injected into the heart and then activated by flashes of blue light.

MD Anderson initiates Phase 1/2 entinostat-lapatinib ditosylate combination study in metastatic breast cancer

Syndax Pharmaceuticals, Inc., a clinical-stage epigenetics oncology company, announced that investigators at The University of Texas MD Anderson Cancer Center Department of Breast Medical Oncology have initiated a phase 1/2 study combining Syndax's lead product entinostat with lapatinib ditosylate (Tykerb) in patients with locally recurrent or distant relapsed metastatic breast cancer previously treated with trastuzumab (Herceptin).

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› Verified 5 days ago

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 Charles Edward 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 Charles Edward Clark, MD
74 Munsill Ave, Suite 100,
Bristol, VT 05443-1032

Ph: (802) 453-5028
Dr Charles Edward Clark, MD
74 Munsill Ave, Suite 100,
Bristol, VT 05443-1032

Ph: (802) 453-5028

News Archive

Scientists make progress toward finding new ways to 'smell' signs of cancer

Scientists have been exploring new ways to "smell" signs of cancer by analyzing what's in patients' breath. In ACS' journal Nano Letters, one team now reports new progress toward this goal. The researchers have developed a small array of flexible sensors, which accurately detect compounds in breath samples that are specific to ovarian cancer.

Medical Marijuana purchases 20 acres of prime mountain valley property in Southern California

Medical Marijuana, Inc. announces today the purchase of 20 acres of prime mountain valley property in Southern California intended to be used within strict governmental guidelines as a research facility targeting medical Cannabis strains specific to a wide range of medical conditions.

Israeli researchers establish novel optogenetic method for cardiac pacing and resynchronization

Israeli researchers have successfully established a new approach for pacing the heart and synchronizing its mechanical activity without the use of a conventional electrical pacemaker. This novel biologic strategy employs light-sensitive genes that can be injected into the heart and then activated by flashes of blue light.

MD Anderson initiates Phase 1/2 entinostat-lapatinib ditosylate combination study in metastatic breast cancer

Syndax Pharmaceuticals, Inc., a clinical-stage epigenetics oncology company, announced that investigators at The University of Texas MD Anderson Cancer Center Department of Breast Medical Oncology have initiated a phase 1/2 study combining Syndax's lead product entinostat with lapatinib ditosylate (Tykerb) in patients with locally recurrent or distant relapsed metastatic breast cancer previously treated with trastuzumab (Herceptin).

Read more News

› Verified 5 days ago


Family Medicine Doctors in Bristol, VT

Jeffrey S Wulfman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 74 Munsill Ave, Suite 100, Bristol, VT 05443
Phone: 802-453-5028    Fax: 802-453-6105
Natasha Alexa Withers, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 61 Pine St Ste 400, Bristol, VT 05443
Phone: 802-453-7422    Fax: 802-453-4815
Jennifer R Wisdom-behounek, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 61 Pine St Bldg 4, Bristol, VT 05443
Phone: 573-884-7733    
Brian D. Bates, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 61 Pine St, Bristol, VT 05443
Phone: 802-453-5028    Fax: 802-453-6105
William Harrison Porter, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 61 Pine St Bldg 4, Bristol, VT 05443
Phone: 802-453-5028    
Renee Bratspis, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 74 Munsill Ave Ste 100, Bristol, VT 05443
Phone: 802-453-5028    

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