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MR. DENNIS JAY CLARK JR. PA C
NPI 1750364188
Physician Assistant in Groveton, TX

Active since November 21, 2005PECOS Enrolled
110 MAGEE, GROVETON, TX 75845(936) 642-0841(936) 642-0849 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Dennis Jay Clark Jr. Pa C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DENNIS JAY CLARK JR. PA C (NPI 1750364188) is an individual physician assistant in Groveton, Texas, licensed in Texas (PA 02393) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750364188
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DENNIS JAY CLARK JR.Credential: PA C
Location Address110 MAGEEGroveton, TX 75845-4185
Mailing AddressPo Box 459, 110 Magee StreetGroveton, TX 75845-0459 · (936) 642-0841 · Fax (936) 642-0849
Phone(936) 642-0841
Fax(936) 642-0849
Sole ProprietorNo
Enumeration DateNovember 21, 2005
Last NPPES UpdateJuly 28, 2010
✔ NPI 1750364188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA 02393
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
110 MAGEE, Groveton, TX 75845
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Other Identifiers 4

OtherPA 02393TX · License
Medicaid203876202TX
Medicare ID-Type Unspecified67 3854TX
Medicaid203876201TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dennis Jay Clark Jr. Pa C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$918.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

D&F MED, PLLC
Clinic/Center (Rural Health)
110 MAGEE
GROVETON, TX 75845
Trinity County (936) 642-0841
MELANIE L PARKER FNP
Nurse Practitioner (Family)
110 MAGEE
GROVETON, TX 75845
Trinity County (936) 642-0841

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 Dennis Clark's NPI number?

The NPI number for Dennis Clark is 1750364188. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Where is Dennis Clark located?

Dennis Clark practices at 110 Magee, Groveton, TX 75845. The listed phone number is (936) 642-0841.

What is Dennis Clark's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dennis Clark enrolled in Medicare?

Yes. Dennis Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dennis Clark was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.