Dr James E Clark Jr, DO - Medicare Radiology in Trenton, MI

Dr James E Clark Jr, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Trenton, Michigan. His current practice location is 5450 Fort St, Trenton, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 671-3297.

Dr James E Clark Jr is licensed to practice in Michigan (license number 5101015856) 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 1952506289.

Contact Information

Dr James E Clark Jr, DO
5450 Fort St,
Trenton, MI 48183-4601
(734) 671-3297
Not Available



Physician's Profile

Full NameDr James E Clark Jr
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location5450 Fort St, Trenton, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952506289
  • Provider Enumeration Date: 06/18/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1850467077
  • Enrollment ID: I20110608000814

Medical Identifiers

Medical identifiers for Dr James E Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952506289NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 5101015856 (Michigan)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 James E Clark Jr allows following entities to bill medicare on his behalf.
Entity NameSmi Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972004489
PECOS PAC ID: 3476696220
Enrollment ID: O20180829003142

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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 James E Clark 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 James E Clark Jr, DO
5450 Fort St,
Trenton, MI 48183-4601

Ph: (734) 671-3297
Dr James E Clark Jr, DO
5450 Fort St,
Trenton, MI 48183-4601

Ph: (734) 671-3297

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Radiology Doctors in Trenton, MI

Dr. Chandrakant C Kapdi, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1650 Fort St, Suite D, Trenton, MI 48183
Phone: 734-675-7100    Fax: 734-675-7103
Dr. Arman G. Froush, D.O
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 5450 Fort St, Trenton, MI 48183
Phone: 734-671-3800    

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