Talaya Blakey Clark, MD - Medicare Family Practice in Charlotte, NC

Talaya Blakey Clark, MD is a medicare enrolled "Family Medicine" physician in Charlotte, North Carolina. She went to Hahnemann University College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Carolinas Medical Center and her current practice location is 1801 Rozzelles Ferry Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 446-9987.

Talaya Blakey Clark is licensed to practice in North Carolina (license number 200401624) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1518043439.

Contact Information

Talaya Blakey Clark, MD
1801 Rozzelles Ferry Rd,
Charlotte, NC 28208-4228
(704) 446-9987
Not Available



Physician's Profile

Full NameTalaya Blakey Clark
GenderFemale
SpecialityFamily Practice
Experience22 Years
Location1801 Rozzelles Ferry Rd, Charlotte, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Talaya Blakey Clark attended and graduated from Hahnemann University College Of Medicine in 2002
  NPI Data:
  • NPI Number: 1518043439
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 12/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0042242620
  • Enrollment ID: I20050902000596

Medical Identifiers

Medical identifiers for Talaya Blakey Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518043439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 200401624 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Medical Center4789597477735

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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. Talaya Blakey Clark allows following entities to bill medicare on her behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116

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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. Talaya Blakey 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
Talaya Blakey Clark, MD
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Talaya Blakey Clark, MD
1801 Rozzelles Ferry Rd,
Charlotte, NC 28208-4228

Ph: (704) 446-9987

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Family Medicine Doctors in Charlotte, NC

Lillian M. Teigland, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6324 Fairview Rd, Suite 201, Charlotte, NC 28210
Phone: 704-384-0588    Fax: 704-384-0580
Felice A James, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 251 Eastway Dr, Charlotte, NC 28213
Phone: 704-446-9991    
Heather M. Burney, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1801 Rozzelles Ferry Rd, Charlotte, NC 28208
Phone: 704-446-9987    
Dr. Jerome Howard, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6111 Rumple Rd, Charlotte, NC 28262
Phone: 704-596-5067    Fax: 704-599-9458
Vishalakshi Kalyana Sundaram, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Vail Ave, Ste 400, Charlotte, NC 28207
Phone: 704-304-7000    
Thamrah Rhoxana Wright, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1918 Randolph Rd Ste 275, Charlotte, NC 28207
Phone: 704-384-1354    
Dr. Carlos B Jorge, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 309 S Sharon Amity Rd Ste 206, Charlotte, NC 28211
Phone: 704-360-5018    Fax: 980-273-1102

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