Dr Jeffrey G Clark, MD - Medicare Urology in Brookhaven, MS

Dr Jeffrey G Clark, MD is a medicare enrolled "Urology" physician in Brookhaven, Mississippi. He went to University Of Alabama School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Urology. He is a member of the group practice Brookhaven Urology, Pa and his current practice location is 425 Highway 51 N, Brookhaven, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 833-5713.

Dr Jeffrey G Clark is licensed to practice in Mississippi (license number 13241) 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 1376643247.

Contact Information

Dr Jeffrey G Clark, MD
425 Highway 51 N,
Brookhaven, MS 39601-2350
(601) 833-5713
(601) 833-1616



Physician's Profile

Full NameDr Jeffrey G Clark
GenderMale
SpecialityUrology
Experience33 Years
Location425 Highway 51 N, Brookhaven, Mississippi
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 Jeffrey G Clark attended and graduated from University Of Alabama School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1376643247
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4587712724
  • Enrollment ID: I20101124000315

Medical Identifiers

Medical identifiers for Dr Jeffrey G Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376643247NPI-NPPES
00116404MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 13241 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
King's Daughters Medical Center-brookhavenBrookhaven, MSHospital
Southwest Ms Regional Medical CenterMccomb, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brookhaven Urology, Pa96382278042

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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 Jeffrey G Clark allows following entities to bill medicare on his behalf.
Entity NameBrookhaven Urology, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154421006
PECOS PAC ID: 9638227804
Enrollment ID: O20090427000446

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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 Jeffrey G 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 Jeffrey G Clark, MD
425 Highway 51 N,
Brookhaven, MS 39601-2350

Ph: (601) 833-5713
Dr Jeffrey G Clark, MD
425 Highway 51 N,
Brookhaven, MS 39601-2350

Ph: (601) 833-5713

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Urology Doctors in Brookhaven, MS

Joel David Duff, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 425 Highway 51 N, Brookhaven, MS 39601
Phone: 601-833-5713    Fax: 601-748-7063
Dr. James Jeffery Boyd, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 425 Highway 51 N, Brookhaven, MS 39601
Phone: 601-833-5713    Fax: 601-833-1616

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