Dr Christopher Jerome Clark, MD - Medicare Vascular Surgery in Greensboro, NC

Dr Christopher Jerome Clark, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Greensboro, North Carolina. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Moses Cone Physician Services, Inc and his current practice location is 2704 Henry St, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 663-5700.

Dr Christopher Jerome Clark is licensed to practice in North Carolina (license number 2017-02091) 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 1134480668.

Contact Information

Dr Christopher Jerome Clark, MD
2704 Henry St,
Greensboro, NC 27405-3633
(336) 663-5700
(336) 663-5734



Physician's Profile

Full NameDr Christopher Jerome Clark
GenderMale
SpecialityVascular Surgery
Experience12 Years
Location2704 Henry St, Greensboro, North Carolina
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 Jerome Clark graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1134480668
  • Provider Enumeration Date: 05/31/2012
  • Last Update Date: 03/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860713765
  • Enrollment ID: I20190903001952

Medical Identifiers

Medical identifiers for Dr Christopher Jerome Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134480668NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery 2017-02091 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Moses H. Cone Memorial Hospital, TheGreensboro, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Moses Cone Physician Services, Inc4284782210306

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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 Jerome Clark allows following entities to bill medicare on his behalf.
Entity NameMoses Cone Physician Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093953127
PECOS PAC ID: 4284782210
Enrollment ID: O20090501000202

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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 Jerome 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 Jerome Clark, MD
2704 Henry St,
Greensboro, NC 27405-3633

Ph: (336) 663-5700
Dr Christopher Jerome Clark, MD
2704 Henry St,
Greensboro, NC 27405-3633

Ph: (336) 663-5700

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Surgery Doctors in Greensboro, NC

Dr. Todd M Gerkin, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1002 N Church St, Suite 302, Greensboro, NC 27401
Phone: 336-387-8100    Fax: 336-387-8202
Bryan K Bartle, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 301 E Wendover Ave, Suite 411, Greensboro, NC 27401
Phone: 336-832-3200    Fax: 336-832-3201
Dr. Roy Marc Arkin, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 613 Woodvale Dr., Greensboro, NC 27410
Phone: 336-294-0207    
Dr. Chelsea Amanda Connor, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1002 N Church St Ste 302, Greensboro, NC 27401
Phone: 336-387-8100    Fax: 336-387-8202
Dr. Christian J Streck, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1002 N Church St, Suite 302, Greensboro, NC 27401
Phone: 336-387-8100    Fax: 336-387-8202
Dr. Daniel Paul Luppens, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1002 N Church St Ste 100, Greensboro, NC 27401
Phone: 336-890-2210    

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