Clark Medical Group, Llc - Medicare Primary Care in Statesboro, GA

Clark Medical Group, Llc is a medicare enrolled primary clinic (Family Medicine) in Statesboro, Georgia. The current practice location for Clark Medical Group, Llc is 117 Hill Pond Ln, Statesboro, Georgia. For appointments, you can reach them via phone at (912) 623-2155. The mailing address for Clark Medical Group, Llc is 117 Hill Pond Ln, Statesboro, Georgia and phone number is (912) 623-2155.

Clark Medical Group, Llc is licensed to practice in Georgia (license number 66012). The clinic also participates in the medicare program and its NPI number is 1477927192. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (912) 623-2155.

Contact Information

Clark Medical Group, Llc
117 Hill Pond Ln
Statesboro
GA 30458-0872
(912) 623-2155
(912) 623-2156

Primary Care Clinic Profile

Full NameClark Medical Group, Llc
SpecialityFamily Medicine
Location117 Hill Pond Ln, Statesboro, Georgia
Authorized Official Name and PositionAaron Clark (OWNER)
Authorized Official Contact9126232155
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clark Medical Group, Llc
117 Hill Pond Ln
Statesboro
GA 30458-0872

Ph: (912) 623-2155
Clark Medical Group, Llc
117 Hill Pond Ln
Statesboro
GA 30458-0872

Ph: (912) 623-2155

NPI Details:

NPI Number1477927192
Provider Enumeration Date11/18/2015
Last Update Date07/20/2020

Medicare PECOS Information:

Medicare PECOS PAC ID8820390347
Medicare Enrollment IDO20151230000533

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Medical Identifiers

Medical identifiers for Clark Medical Group, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477927192NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 66012 (Georgia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Clark Medical Group, Llc acts as a billing entity for following providers:
Provider NameAaron Taylor Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1134439581
PECOS PAC ID: 8325226772
Enrollment ID: I20110707000215

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Provider NameIris Clark
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174887004
PECOS PAC ID: 6305085259
Enrollment ID: I20151103003225

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