Dr Clark David Phelps Jr, MD - Medicare Diagnostic Radiology in Traverse City, MI

Dr Clark David Phelps Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Traverse City, Michigan. He went to Wayne State University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Grand Traverse Radiologists Pc and his current practice location is 1105 Sixth St, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 935-0497.

Dr Clark David Phelps Jr is licensed to practice in Michigan (license number 4301053326) 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 1437173630.

Contact Information

Dr Clark David Phelps Jr, MD
1105 Sixth St,
Traverse City, MI 49684-2345
(231) 935-0497
Not Available



Physician's Profile

Full NameDr Clark David Phelps Jr
GenderMale
SpecialityDiagnostic Radiology
Experience36 Years
Location1105 Sixth St, Traverse City, Michigan
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 David Phelps Jr attended and graduated from Wayne State University School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1437173630
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 04/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264514165
  • Enrollment ID: I20100108000105

Medical Identifiers

Medical identifiers for Dr Clark David Phelps Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437173630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 4301053326 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Medical CenterTraverse city, MIHospital
Munson Healthcare Grayling HospitalGrayling, MIHospital
Munson Healthcare Otsego Memorial HospitalGaylord, MIHospital
Munson Healthcare Cadillac HospitalCadillac, MIHospital
Kalkaska Memorial Health CenterKalkaska, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grand Traverse Radiologists Pc600286640726

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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 David Phelps Jr allows following entities to bill medicare on his behalf.
Entity NameGrand Traverse Radiologists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760404891
PECOS PAC ID: 6002866407
Enrollment ID: O20050124000780

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Entity NameNovello Imaging Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265030068
PECOS PAC ID: 3476968686
Enrollment ID: O20210222002022

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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 David Phelps Jr 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 David Phelps Jr, MD
Po Box 30516, Dept. 9516,
Lansing, MI 48909-8016

Ph: (231) 935-0497
Dr Clark David Phelps Jr, MD
1105 Sixth St,
Traverse City, MI 49684-2345

Ph: (231) 935-0497

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Radiology Doctors in Traverse City, MI

Edward J Walsh, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-0497    
Dr. Jesse Clark Johnson, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-0497    
Andrew Osetek, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-5000    
Anthony Livorine, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-0497    
Dr. Ryan Michael Holmes, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-0497    
Dr. Daniel Pilade Dall'olmo, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 10850 E Traverse Hwy, Suite 60, Traverse City, MI 49684
Phone: 231-935-0497    
Dr. Charles Paul Williams, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1105 Sixth St, Traverse City, MI 49684
Phone: 231-935-0497    

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