Dr Clark C Chen, MD PHD - Medicare Neurosurgery in Providence, RI

Dr Clark C Chen, MD PHD is a medicare enrolled "Neurological Surgery" physician in Providence, Rhode Island. He went to Harvard Medical School and graduated in 2001 and has 23 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Fairview Express Care and his current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 793-9166.

Dr Clark C Chen is licensed to practice in Rhode Island (license number MD19577) 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 1437149523.

Contact Information

Dr Clark C Chen, MD PHD
593 Eddy St,
Providence, RI 02903-4923
(401) 793-9166
Not Available



Physician's Profile

Full NameDr Clark C Chen
GenderMale
SpecialityNeurosurgery
Experience23 Years
Location593 Eddy St, Providence, Rhode Island
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 Clark C Chen attended and graduated from Harvard Medical School in 2001
  NPI Data:
  • NPI Number: 1437149523
  • Provider Enumeration Date: 10/28/2005
  • Last Update Date: 05/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395825632
  • Enrollment ID: I20170719001350

Medical Identifiers

Medical identifiers for Dr Clark C Chen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437149523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 216069 (Massachusetts)Secondary
207T00000XNeurological Surgery 62432 (Minnesota)Secondary
207T00000XNeurological Surgery MD19577 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791523

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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 Clark C Chen allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532

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Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110

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Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507

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Entity NameHealtheast St Joseph's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134186273
PECOS PAC ID: 2365348869
Enrollment ID: O20031208000245

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Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320

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Entity NameHealtheast Care System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194787465
PECOS PAC ID: 7214833763
Enrollment ID: O20031208000483

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Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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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 Clark C Chen 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 Clark C Chen, MD PHD
Po Box 232410,
San Diego, CA 92193-2410

Ph: (858) 822-4048
Dr Clark C Chen, MD PHD
593 Eddy St,
Providence, RI 02903-4923

Ph: (401) 793-9166

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Neurological Surgery Doctors in Providence, RI

Dr. Elias Shaaya, MD
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-793-9135    
Dr. Ki-eun Chang, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street Apc 6, Providence, RI 02903
Phone: 401-793-9166    Fax: 401-444-2788
Dr. Belinda Shao, MD, MPH
Neurological Surgery
Medicare: Medicare Enrolled
Practice Location: 593 Eddy St, Providence, RI 02903
Phone: 401-793-9135    Fax: 401-444-2788
Dr. Petra Margarete Klinge, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 55 Claverick Street, Providence, RI 02903
Phone: 401-455-1749    Fax: 401-455-1292
Sohail Syed, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Apc 6, Providence, RI 02903
Phone: 401-444-4146    Fax: 401-444-2781
Albert Edward Telfeian, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Apc 6, Providence, RI 02903
Phone: 401-793-9153    Fax: 401-444-2024
Dr. Beverly Claire Walters, M.D.
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 128 N Main St, Providence, RI 02903
Phone: 401-351-1369    Fax: 401-251-0079

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