Dr James W Clark, MD - Medicare Pediatrics in Eagan, MN

Dr James W Clark, MD is a medicare enrolled "Pediatrics" physician in Eagan, Minnesota. His current practice location is 1885 Plaza Dr, Eagan, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-4001.

Dr James W Clark is licensed to practice in Minnesota (license number 26114) 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 1306824255.

Contact Information

Dr James W Clark, MD
1885 Plaza Dr,
Eagan, MN 55122-2612
(952) 993-4001
Not Available



Physician's Profile

Full NameDr James W Clark
GenderMale
SpecialityPediatrics
Location1885 Plaza Dr, Eagan, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1306824255
  • Provider Enumeration Date: 01/01/2006
  • Last Update Date: 03/01/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4183894868
  • Enrollment ID: I20110907001450

Medical Identifiers

Medical identifiers for Dr James W Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306824255NPI-NPPES
444703400MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 26114 (Minnesota)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 W Clark allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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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 W 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 James W Clark, MD
3800 Park Nicollet Blvd, Credentialing,
St Louis Park, MN 55416-2527

Ph: () -
Dr James W Clark, MD
1885 Plaza Dr,
Eagan, MN 55122-2612

Ph: (952) 993-4001

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Pediatrics Doctors in Eagan, MN

Christine Marie Schmitz, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121
Phone: 651-406-8860    
Barbara Jean Bittner, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121
Phone: 651-454-3970    
Christina Tove Dunn, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121
Phone: 651-406-8860    
Ann Marie Ferguson, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3305 Central Park Village Dr Ste 200, Eagan, MN 55121
Phone: 651-406-8860    
Deirdre Milligan, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3305 Central Park Village Dr, Eagan, MN 55121
Phone: 651-406-8860    
Eleanor-irene B Bucu, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1110 Yankee Doodle Rd, Eagan, MN 55121
Phone: 651-454-3970    

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