Kanchan Puri Clark, MD - Medicare Psychiatry in Danville, VA

Kanchan Puri Clark, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Danville, Virginia. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Prince William County and her current practice location is 382 Taylor Dr, Danville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 773-4240.

Kanchan Puri Clark is licensed to practice in Virginia (license number VA0101057674) 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 1649230509.

Contact Information

Kanchan Puri Clark, MD
382 Taylor Dr,
Danville, VA 24541
(434) 773-4240
(434) 773-4241



Physician's Profile

Full NameKanchan Puri Clark
GenderFemale
SpecialityPsychiatry
Experience38 Years
Location382 Taylor Dr, Danville, Virginia
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:
  • Kanchan Puri Clark graduated from medical school in 1986
  NPI Data:
  • NPI Number: 1649230509
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0941590608
  • Enrollment ID: I20161017002292

Medical Identifiers

Medical identifiers for Kanchan Puri Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649230509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry VA0101057674 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prince William County711391297323

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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. Kanchan Puri Clark allows following entities to bill medicare on her behalf.
Entity NamePrince William County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053402800
PECOS PAC ID: 7113912973
Enrollment ID: O20040420000249

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Entity NameCommonwealth Of Virginia Department Of Behavioral Health And Southern
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386704898
PECOS PAC ID: 3173502713
Enrollment ID: O20040716000396

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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. Kanchan Puri 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
Kanchan Puri Clark, MD
382 Taylor Dr,
Danville, VA 24541

Ph: (434) 773-4240
Kanchan Puri Clark, MD
382 Taylor Dr,
Danville, VA 24541

Ph: (434) 773-4240

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› Verified 2 days ago


Psychiatry & Neurology Doctors in Danville, VA

Wales Thottathikunnath George, M.D
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 382 Taylor Dr, Danville, VA 24541
Phone: 434-799-3220    
Renuka N Prasad, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 212 S Main St, Suite 3, Danville, VA 24541
Phone: 434-799-9020    Fax: 434-799-3451
Chandrakant M Patel, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 212 S Main St, Suite # 2, Danville, VA 24541
Phone: 434-799-2400    Fax: 434-793-0239
Donovan Deryl Clark, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 382 Taylor Dr, Danville, VA 24541
Phone: 434-773-4240    Fax: 434-773-4241
Suresh M Patel, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 382 Taylor Dr, Southern Virginia Mental Health Institute, Danville, VA 24541
Phone: 434-799-6220    Fax: 434-773-4241
Mikhail O. Chizhikov, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 291 Park Ave, Danville, VA 24541
Phone: 434-799-3310    Fax: 434-799-3317
Dr. Dana Lowenthal, D.O.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 480 Mount Cross Rd, Danville, VA 24540
Phone: 866-934-7450    

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