Dr Justin Wayne Clark, MD - Medicare Dermatology in Lubbock, TX

Dr Justin Wayne Clark, MD is a medicare enrolled "Dermatology" physician in Lubbock, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1996 and has 28 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Lubbock Dermatology And Skin Cancer Center and his current practice location is 3601 22nd St, Lubbock Dermatology, Lubbock, Texas. You can reach out to his office (for appointments etc.) via phone at (806) 796-7193.

Dr Justin Wayne Clark is licensed to practice in Texas (license number K4662) 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 1639164098.

Contact Information

Dr Justin Wayne Clark, MD
3601 22nd St, Lubbock Dermatology,
Lubbock, TX 79410-1309
(806) 796-7193
(806) 796-0034



Physician's Profile

Full NameDr Justin Wayne Clark
GenderMale
SpecialityDermatology
Experience28 Years
Location3601 22nd St, Lubbock, Texas
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 Justin Wayne Clark attended and graduated from University Of Texas Medical Branch At Galveston in 1996
  NPI Data:
  • NPI Number: 1639164098
  • Provider Enumeration Date: 09/13/2005
  • Last Update Date: 10/25/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7416089925
  • Enrollment ID: I20100720000156

Medical Identifiers

Medical identifiers for Dr Justin Wayne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639164098NPI-NPPES
120680701MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology K4662 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Covenant Childrens HospitalLubbock, TXHospital
Covenant Medical CenterLubbock, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lubbock Dermatology And Skin Cancer Center90321280535

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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 Justin Wayne Clark allows following entities to bill medicare on his behalf.
Entity NameLubbock Dermatology And Skin Cancer Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295721066
PECOS PAC ID: 9032128053
Enrollment ID: O20060419000195

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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 Justin Wayne 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 Justin Wayne Clark, MD
3601 22nd St,
Lubbock, TX 79410-1309

Ph: (806) 796-7193
Dr Justin Wayne Clark, MD
3601 22nd St, Lubbock Dermatology,
Lubbock, TX 79410-1309

Ph: (806) 796-7193

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Dermatology Doctors in Lubbock, TX

Dr. Brent R. Paulger, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2202 Ithaca Ave, Lubbock, TX 79410
Phone: 806-797-1202    Fax: 806-797-4854
Dr. Bryan Harris, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3715 21st St, Lubbock, TX 79410
Phone: 806-795-0610    Fax: 806-795-0602
Ashley Sturgeon, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2202 Ithaca Ave, Lubbock, TX 79410
Phone: 806-797-1202    Fax: 806-797-4854
Dr. Michael David Long, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 6012 82nd St Ste 15, Lubbock, TX 79424
Phone: 806-749-7933    Fax: 806-749-6117
Michelle Babb Tarbox, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 4th St, Department Of Dermatology, Lubbock, TX 79430
Phone: 806-743-1842    Fax: 806-743-2933
Dr. Amy Rocky Brackeen, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4709 66th St, Lubbock, TX 79414
Phone: 806-701-5844    Fax: 806-701-5845
Dr. Richard H Hope, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3601 22nd St, Lubbock, TX 79410
Phone: 806-796-7193    Fax: 809-796-0034

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