Keith Fredrick Clark, MD PHD - Medicare Otolaryngology in Oklahoma City, OK

Keith Fredrick Clark, MD PHD is a medicare enrolled "Otolaryngology" physician in Oklahoma City, Oklahoma. He went to University Of Michigan Medical School and graduated in 1978 and has 46 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Saint Medical Group, Llc and his current practice location is 535 Nw 9th St, Suite 300, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 272-6027.

Keith Fredrick Clark is licensed to practice in Oklahoma (license number 14220) 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 1376506642.

Contact Information

Keith Fredrick Clark, MD PHD
535 Nw 9th St, Suite 300,
Oklahoma City, OK 73102-1070
(405) 272-6027
(405) 272-8315



Physician's Profile

Full NameKeith Fredrick Clark
GenderMale
SpecialityOtolaryngology
Experience46 Years
Location535 Nw 9th St, Oklahoma City, Oklahoma
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:
  • Keith Fredrick Clark attended and graduated from University Of Michigan Medical School in 1978
  NPI Data:
  • NPI Number: 1376506642
  • Provider Enumeration Date: 04/08/2006
  • Last Update Date: 10/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6204985641
  • Enrollment ID: I20120302000522

Medical Identifiers

Medical identifiers for Keith Fredrick Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376506642NPI-NPPES
157107001MedicaidAR
731461178005OtherTRICARE
A0209ZOtherPPO OKLAHOMA
100823600BMedicaidOK
2994975OtherAETNA US HEALTHCARE
P00075512OtherRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 14220 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Anthony Hospital - Oklahoma CityOklahoma city, OKHospital
Ssm Health St Anthony Hospital - ShawneeShawnee, OKHospital
Purcell Municipal HospitalPurcell, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Medical Group, Llc7012914898298

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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. Keith Fredrick Clark allows following entities to bill medicare on his behalf.
Entity NameSaint Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437195922
PECOS PAC ID: 7012914898
Enrollment ID: O20061109000189

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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. Keith Fredrick 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
Keith Fredrick Clark, MD PHD
535 Nw 9th St, Suite 300,
Oklahoma City, OK 73102-1070

Ph: (405) 272-6027
Keith Fredrick Clark, MD PHD
535 Nw 9th St, Suite 300,
Oklahoma City, OK 73102-1070

Ph: (405) 272-6027

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Otolaryngology Doctors in Oklahoma City, OK

Richard D. Kopke, M.D.
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 3400 Nw 56th St, Oklahoma City, OK 73112
Phone: 405-946-5563    Fax: 405-947-6226
Dr. Elena Beth Woodson, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Broadway Ext Ste 200, Oklahoma City, OK 73114
Phone: 405-608-8833    Fax: 405-608-8818
Dr. John R Houck Jr., MD
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 921 Ne 13th Street, Department Of Surgery, Oklahoma City, OK 73104
Phone: 405-456-3409    Fax: 405-456-5952
Chelsey Smith, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 920 Sl Young Blvd, Wp 1290, Oklahoma City, OK 73104
Phone: 405-271-5504    
Jesus E Medina, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 825 Ne 10th St # 4200, Oklahoma City, OK 73104
Phone: 405-271-7559    
Jimmy Argo, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104
Phone: 405-271-5504    
Adam Johnson, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 920 Sl Young Blvd, Wp 1290, Oklahoma City, OK 73104
Phone: 405-271-5504    

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