Peter Earl Clark, MD in Charlotte, NC - Medicare Urology

Peter Earl Clark, MD is a medicare enrolled "Urology" physician in Charlotte, North Carolina. He went to Harvard Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice The Charlotte-mecklenburg Hospital Authority, Carolinas Medical Center and his current practice location is 1021 Morehead Medical Dr, Ste 6100, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (980) 442-2000.

Peter Earl Clark is licensed to practice in North Carolina (license number 200200506) 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 1073595401.

Contact Information

	Peter Earl Clark, MD
	1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204-2990
	(980) 442-2000
	Not Available

Physician's Profile

Full Name	Peter Earl Clark
Gender	Male
Speciality	Urology
Experience	30 Years
Location	1021 Morehead Medical Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Peter Earl Clark attended and graduated from Harvard Medical School in 1994

NPI Data:

NPI Number: 1073595401
Provider Enumeration Date: 11/21/2005
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 9133120058
Enrollment ID: I20170531000852

Medical Identifiers

Medical identifiers for Peter Earl Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073595401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	200200506 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Carolinas Medical Center/behav Health	Charlotte, NC	Hospital
Atrium Health Lincoln	Lincolnton, NC	Hospital
Carolinas Medical Center-pineville	Charlotte, NC	Hospital
Atrium Health Union	Monroe, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Charlotte-mecklenburg Hospital Authority	2961310685	488
Carolinas Medical Center	4789597477	735

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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. Peter Earl Clark allows following entities to bill medicare on his behalf.

Entity Name	Carolinas Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275774333 PECOS PAC ID: 4789597477 Enrollment ID: O20031110000116

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Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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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. Peter Earl 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 Address	Practice Location Address
Peter Earl Clark, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Peter Earl Clark, MD 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204-2990 Ph: (980) 442-2000

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Urology Doctors in Charlotte, NC

Mark J. Makhuli, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 3100, Charlotte, NC 28204 Phone: 704-355-8686
Dr. George Albert Dasher, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 10512 Park Rd, Suite 113, Charlotte, NC 28210 Phone: 704-541-8207
Dr. Craig H Robson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 335 N Caswell Rd, Charlotte, NC 28204 Phone: 704-384-7980
Jonathan Pierce Walker, MD Urology Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Charlotte, NC 28203 Phone: 704-446-5070
E Matthew Dilizia, MD Urology Medicare: Medicare Enrolled Practice Location: 10660 Park Rd Ste 4100, Charlotte, NC 28210 Phone: 704-541-8207 Fax: 704-540-8288
Dr. Lawrence Andrew Eskew, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 335 N Caswell Rd, Charlotte, NC 28204 Phone: 704-384-7980 Fax: 704-384-7985

Peter Earl Clark, MD - Medicare Urology in Charlotte, NC

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

Perrigo closes previously announced acquisition of generic Retin-A portfolio from Matawan Pharmaceuticals

Rare heart defect reproduced in petri dish, hope for cure

Study shows difference in outcomes for women treated with checkpoint inhibitors for melanoma

People who donate a kidney to help someone else often suffer financially to do so

Medicare Reassignments

Perrigo closes previously announced acquisition of generic Retin-A portfolio from Matawan Pharmaceuticals

Rare heart defect reproduced in petri dish, hope for cure

Study shows difference in outcomes for women treated with checkpoint inhibitors for melanoma

People who donate a kidney to help someone else often suffer financially to do so

Perrigo closes previously announced acquisition of generic Retin-A portfolio from Matawan Pharmaceuticals

Rare heart defect reproduced in petri dish, hope for cure

Study shows difference in outcomes for women treated with checkpoint inhibitors for melanoma

People who donate a kidney to help someone else often suffer financially to do so

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Perrigo closes previously announced acquisition of generic Retin-A portfolio from Matawan Pharmaceuticals

Rare heart defect reproduced in petri dish, hope for cure

Study shows difference in outcomes for women treated with checkpoint inhibitors for melanoma

People who donate a kidney to help someone else often suffer financially to do so

Urology Doctors in Charlotte, NC