Summer Clark, MD - Medicare Dermatology in Amarillo, TX

Summer Clark, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Amarillo, Texas. She went to University Of Oklahoma College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Proffer Surgical Associates, Llp and her current practice location is 1611 Wallace Blvd, Amarillo, Texas. You can reach out to her office (for appointments etc.) via phone at (063) 544-9008.

Summer Clark is licensed to practice in Texas (license number S1580) 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 1154736643.

Contact Information

Summer Clark, MD
1611 Wallace Blvd,
Amarillo, TX 79106-1799
(063) 544-9008
Not Available



Physician's Profile

Full NameSummer Clark
GenderFemale
SpecialityDermatology
Experience10 Years
Location1611 Wallace Blvd, Amarillo, Texas
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:
  • Summer Clark attended and graduated from University Of Oklahoma College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1154736643
  • Provider Enumeration Date: 06/24/2014
  • Last Update Date: 06/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8123248887
  • Enrollment ID: I20190819002941

Medical Identifiers

Medical identifiers for Summer Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154736643NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery S1580 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist St Anthony's HospitalAmarillo, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proffer Surgical Associates, Llp36785792324

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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. Summer Clark allows following entities to bill medicare on her behalf.
Entity NameProffer Surgical Associates, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164441333
PECOS PAC ID: 3678579232
Enrollment ID: O20061005000041

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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. Summer 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
Summer Clark, MD
1611 Wallace Blvd,
Amarillo, TX 79106-1799

Ph: (806) 354-4900
Summer Clark, MD
1611 Wallace Blvd,
Amarillo, TX 79106-1799

Ph: (063) 544-9008

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Dermatology Doctors in Amarillo, TX

Dr. Jason Kyle Jones, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4302 Wolflin Ave, Amarillo, TX 79106
Phone: 806-355-9866    
Dr. William Robert East,
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1901 Medi-park, Suite 6, Amarillo, TX 79106
Phone: 806-355-7421    Fax: 806-358-2381
Christi Anne Baker, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4302 Wolflin Ave, Amarillo, TX 79106
Phone: 806-355-9866    Fax: 806-355-4004
Elaine Remmers Cook, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 2609 Wolflin Vlg, Amarillo, TX 79109
Phone: 806-358-1117    
Dr. Tyler Enos, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4302 Wolflin Ave, Amarillo, TX 79106
Phone: 806-355-9866    
Dr. James Keith Yeary, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106
Phone: 806-355-9703    Fax: 806-468-1513

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