CLARK D ANDELIN DMD, MD
NPI 1043538705
Dentist - Oral and Maxillofacial Surgery in Philadelphia, PA
About Clark D Andelin Dmd, Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK D ANDELIN DMD, MD (NPI 1043538705) is an individual oral and maxillofacial surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS038552) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Univ. Of Vermont - Fletcher Allen Health Care, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Clark D Andelin Dmd, Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Univ. Of Vermont - Fletcher Allen Health Care
Acute Care Hospitals · Burlington, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Clark Andelin's NPI number?
The NPI number for Clark Andelin is 1043538705. It was assigned to this individual provider in the NPPES registry on May 5, 2010.
Where is Clark Andelin located?
Clark Andelin practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-6176.
What is Clark Andelin's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Clark Andelin enrolled in Medicare?
Yes. Clark Andelin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Clark Andelin accept?
Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Clark Andelin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Clark Andelin affiliated with any hospitals?
According to CMS data, Clark Andelin is affiliated with Univ. Of Vermont - Fletcher Allen Health Care.
When was this NPI record last updated?
The NPPES record for Clark Andelin was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Clark D Andelin, DMD, MD · NPI 1043538705
Oral and Maxillofacial Surgery provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 5, 2010.
## Identity
- **NPI:** 1043538705 (Entity type: Individual)
- **Enumerated:** May 5, 2010
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DS038552 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-6176
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** January 20, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1043538705) · Data from the CMS NPPES public registry.