Dr Matthew John Clark, MD - Medicare Emergency Medicine in Bristol, TN

Dr Matthew John Clark, MD is a medicare enrolled "Emergency Medicine" physician in Bristol, Tennessee. He went to Vanderbilt University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tri-cities Regional Emergency Physicians, Pc and his current practice location is 1 Medical Park Blvd, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 844-1121.

Dr Matthew John Clark is licensed to practice in Tennessee (license number 60882) 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 1902224231.

Contact Information

Dr Matthew John Clark, MD
1 Medical Park Blvd,
Bristol, TN 37620-7453
(423) 844-1121
Not Available



Physician's Profile

Full NameDr Matthew John Clark
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location1 Medical Park Blvd, Bristol, Tennessee
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 Matthew John Clark attended and graduated from Vanderbilt University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1902224231
  • Provider Enumeration Date: 04/03/2014
  • Last Update Date: 06/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7214220714
  • Enrollment ID: I20200625002645

Medical Identifiers

Medical identifiers for Dr Matthew John Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902224231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 60882 (Tennessee)Primary
207P00000XEmergency Medicine 64936-20 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellmont Holston Valley Medical CenterKingsport, TNHospital
Indian Path Community HospitalKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tri-cities Regional Emergency Physicians, Pc3678859477129

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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 Matthew John Clark allows following entities to bill medicare on his behalf.
Entity NameTri-cities Regional Emergency Physicians, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063950046
PECOS PAC ID: 3678859477
Enrollment ID: O20170410002399

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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 Matthew John 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 Matthew John Clark, MD
2010 Wandering Dr,
Kingsport, TN 37660-6707

Ph: () -
Dr Matthew John Clark, MD
1 Medical Park Blvd,
Bristol, TN 37620-7453

Ph: (423) 844-1121

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Emergency Medicine Doctors in Bristol, TN

Thomas A Kitts, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-2100    Fax: 423-844-2120
Dr. Gregory A Gerlock, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-2100    Fax: 423-844-2120
Curtis K Drumwright, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-2100    Fax: 423-844-2120
Dr. Joseph Sabry Radawi, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2726 W State St, Bristol, TN 37620
Phone: 423-758-6744    
Dr. Laura Scieszka, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-1121    
Kenneth E Turner Sr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-2100    Fax: 423-844-2120
James A Luna, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-2100    Fax: 423-844-2120

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