Dr Samuel Gray Mcclatchy, MD - Medicare Sports Medicine in Fayetteville, AR

Dr Samuel Gray Mcclatchy, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Fayetteville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Ozark Orthopaedics, Pa and his current practice location is 3317 N Wimberly Dr, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 521-2752.

Dr Samuel Gray Mcclatchy is licensed to practice in Arkansas (license number E-15633) 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 1356796684.

Contact Information

Dr Samuel Gray Mcclatchy, MD
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056
(479) 521-2752
(479) 521-4603



Physician's Profile

Full NameDr Samuel Gray Mcclatchy
GenderMale
SpecialitySports Medicine
Experience8 Years
Location3317 N Wimberly Dr, Fayetteville, Arkansas
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 Samuel Gray Mcclatchy attended and graduated from University Of Arkansas College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1356796684
  • Provider Enumeration Date: 04/23/2016
  • Last Update Date: 08/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527358910
  • Enrollment ID: I20220729002022

Medical Identifiers

Medical identifiers for Dr Samuel Gray Mcclatchy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356796684NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 28373 (Mississippi)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine E-15633 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington Regional Medical CenterFayetteville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ozark Orthopaedics, Pa286047718947

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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 Samuel Gray Mcclatchy allows following entities to bill medicare on his behalf.
Entity NameOzark Orthopaedics, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649210584
PECOS PAC ID: 2860477189
Enrollment ID: O20040621001974

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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 Samuel Gray Mcclatchy 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 Samuel Gray Mcclatchy, MD
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056

Ph: (479) 521-2752
Dr Samuel Gray Mcclatchy, MD
3317 N Wimberly Dr,
Fayetteville, AR 72703-4056

Ph: (479) 521-2752

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Orthopaedic Surgery Doctors in Fayetteville, AR

Dr. Christopher Noel Henley, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3317 N Wimberly Dr, Fayetteville, AR 72703
Phone: 479-587-3130    Fax: 479-444-6942
Dr. Mathew Jack Coker, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3317 N Wimberly Dr, Fayetteville, AR 72703
Phone: 479-521-2752    Fax: 479-444-6942
Dr. Charles Kristian Hanby, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3317 N Wimberly Dr, Fayetteville, AR 72703
Phone: 479-521-2752    Fax: 479-444-6942
David Erik Yakin, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3900 N Parkview Dr, Fayetteville, AR 72703
Phone: 479-966-4187    Fax: 479-966-4197
Dr. Jason H Pleimann, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3317 N Wimberly Dr, Fayetteville, AR 72703
Phone: 479-521-2752    Fax: 479-444-6942
Kenton Lee Hagan,
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3900 N Parkview Dr, Fayetteville, AR 72703
Phone: 479-966-4187    Fax: 479-966-4197
Dr. Tom Patrick Coker, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3317 N Wimberly Dr, Fayetteville, AR 72703
Phone: 479-521-2752    Fax: 479-444-6942

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