Dr Zachary Kyle Clark, MD - Medicare Internal Medicine in Fairhope, AL

Dr Zachary Kyle Clark, MD is a medicare enrolled "Internal Medicine" physician in Fairhope, Alabama. He went to University Of South Alabama College Of Medicine and graduated in 2020 and has 4 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Fairhope Internal Medicine Pc and his current practice location is 150 S Ingleside St Ste 6, Fairhope, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 990-1740.

Dr Zachary Kyle Clark is licensed to practice in Alabama (license number 43746) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063049054.

Contact Information

Dr Zachary Kyle Clark, MD
150 S Ingleside St Ste 6,
Fairhope, AL 36532-1804
(251) 990-1740
Not Available



Physician's Profile

Full NameDr Zachary Kyle Clark
GenderMale
SpecialityInternal Medicine
Experience4 Years
Location150 S Ingleside St Ste 6, Fairhope, Alabama
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Zachary Kyle Clark attended and graduated from University Of South Alabama College Of Medicine in 2020
  NPI Data:
  • NPI Number: 1063049054
  • Provider Enumeration Date: 03/27/2020
  • Last Update Date: 03/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3870910342
  • Enrollment ID: I20220805003143

Medical Identifiers

Medical identifiers for Dr Zachary Kyle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063049054NPI-NPPES
315102MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 43746 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thomas HospitalFairhope, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairhope Internal Medicine Pc63058846519

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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 Zachary Kyle Clark allows following entities to bill medicare on his behalf.
Entity NameFairhope Internal Medicine Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295760494
PECOS PAC ID: 6305884651
Enrollment ID: O20050419000175

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Entity NameGreater Mobile Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801063938
PECOS PAC ID: 1456429281
Enrollment ID: O20081007000622

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Entity NameGmuc Of Springhill Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952617508
PECOS PAC ID: 6901091156
Enrollment ID: O20101112000731

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Entity NameGmuc Of Citronelle Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164794343
PECOS PAC ID: 8426210014
Enrollment ID: O20120426000475

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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 Zachary Kyle 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 Zachary Kyle Clark, MD
150 S Ingleside St Ste 6,
Fairhope, AL 36532-1804

Ph: () -
Dr Zachary Kyle Clark, MD
150 S Ingleside St Ste 6,
Fairhope, AL 36532-1804

Ph: (251) 990-1740

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Internal Medicine Doctors in Fairhope, AL

Dr. Michael A. Hennigan, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3 Medical Park, Fairhope, AL 36532
Phone: 251-929-3424    Fax: 251-279-3931
Dr. Christopher Clarke, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3 Medical Park, Fairhope, AL 36532
Phone: 251-929-3424    
Dr. Isadore M. Pike, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 105 N Summit St, Fairhope, AL 36532
Phone: 251-990-3098    Fax: 251-990-3417
Steven Philip Wittmer, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 S Ingleside St Ste 6, Fairhope, AL 36532
Phone: 251-990-1740    Fax: 251-990-1831
Michaela Bylokova Mcdonald, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 750 Morphy Ave, Fairhope, AL 36532
Phone: 251-279-1529    Fax: 251-279-1192
William F Sullivan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3 Medical Park Drive, Fairhope, AL 36532
Phone: 251-928-8804    Fax: 251-990-9379

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