CLARK CALVIN ANDERSON MD
NPI 1104485770
Student in an Organized Health Care Education/Training Program in San Antonio, TX
About Clark Calvin Anderson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLARK CALVIN ANDERSON MD (NPI 1104485770) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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 Calvin Anderson 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bon Secours St Marys Hospital
Acute Care Hospitals · Richmond, VABon Secours Southside Medical Center
Acute Care Hospitals · Petersburg, VAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
SAN ANTONIO, TX 78229
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 Anderson's NPI number?
The NPI number for Clark Anderson is 1104485770. It was assigned to this individual provider in the NPPES registry on June 7, 2019.
Where is Clark Anderson located?
Clark Anderson practices at 4502 Medical Dr, San Antonio, TX 78229. The listed phone number is (920) 460-8927.
What is Clark Anderson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Clark Anderson enrolled in Medicare?
Yes. Clark Anderson 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.
Is Clark Anderson affiliated with any hospitals?
According to CMS data, Clark Anderson is affiliated with Bon Secours St Marys Hospital and Bon Secours Southside Medical Center.
When was this NPI record last updated?
The NPPES record for Clark Anderson was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.