Dr Christopher E Clark, DO - Medicare General Surgery in Lucedale, MS

Dr Christopher E Clark, DO is a medicare enrolled "Surgery" physician in Lucedale, Mississippi. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice The Health Care Authority Of The City Of Eufaula and his current practice location is 57 Dewey St, Lucedale, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 766-0308.

Dr Christopher E Clark is licensed to practice in North Carolina (license number 2016-00328) 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 1962704999.

Contact Information

Dr Christopher E Clark, DO
57 Dewey St,
Lucedale, MS 39452-5707
(601) 766-0308
(601) 766-0309



Physician's Profile

Full NameDr Christopher E Clark
GenderMale
SpecialityGeneral Surgery
Experience16 Years
Location57 Dewey St, Lucedale, 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:
  • Dr Christopher E Clark attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2008
  NPI Data:
  • NPI Number: 1962704999
  • Provider Enumeration Date: 11/23/2010
  • Last Update Date: 02/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1052582939
  • Enrollment ID: I20130813000810

Medical Identifiers

Medical identifiers for Dr Christopher E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962704999NPI-NPPES
909150OtherMSMEDICARE
05788788MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 2016-00328 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Medical Center BarbourEufaula, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Health Care Authority Of The City Of Eufaula93354076597

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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 Christopher E Clark allows following entities to bill medicare on his behalf.
Entity NameThe Health Care Authority Of The City Of Eufaula
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730692641
PECOS PAC ID: 9335407659
Enrollment ID: O20180619000582

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Entity NameEss Of Luverne Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457953473
PECOS PAC ID: 0345653622
Enrollment ID: O20210105001927

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Entity NameSycamore Physicians Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1780372557
PECOS PAC ID: 9032573902
Enrollment ID: O20230911002503

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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 Christopher E 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 Christopher E Clark, DO
Po Box 1007,
Lucedale, MS 39452-1007

Ph: (601) 766-0308
Dr Christopher E Clark, DO
57 Dewey St,
Lucedale, MS 39452-5707

Ph: (601) 766-0308

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Surgery Doctors in Lucedale, MS

Vincent L Grant, MD PLC
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 57 Dewey St, Lucedale, MS 39452
Phone: 601-766-0308    Fax: 601-766-0309
Declan F Hegarty, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 57 Dewey St, Lucedale, MS 39452
Phone: 601-766-0308    Fax: 601-766-0309

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