CLARK WYNN LANGLEY MD
NPI 1760456792
Family Medicine in Kilgore, TX

NPI Status: Active since February 15, 2006

Contact Information

1718 S HENDERSON BLVD
#8
KILGORE, TX
ZIP 75662
Phone: (903) 983-2110

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  • Individual
  • Male
  • Family Medicine
  • Opted-Out Medicare

About CLARK LANGLEY

This page provides the complete NPI Profile along with additional information for Clark Langley, a primary care provider established in Kilgore, Texas with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1760456792 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number L1919 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1760456792
Provider Name
CLARK WYNN LANGLEY MD
Gender
Male
Entity Type
Individual
Location Address
1718 S HENDERSON BLVD #8 KILGORE, TX 75662
Location Phone
(903) 983-2110
Mailing Address
PO BOX 846098 DALLAS, TX 75284
Mailing Phone
(903) 324-6450
Is Sole Proprietor?
No
Enumeration Date
02-15-2006
Last Update Date
10-13-2014
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A primary care provider (PCP) like Clark Langley sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Clark Langley opted out of Medicare effective on 04-01-2020 until 04-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
L1919
License State
TX
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
H44300MEDICARE UPIN (02) 
8K5036MEDICARE OSCAR/CERTIFICATION (06)TX 
080174505MEDICARE PIN (08)TX 
8438N0MEDICARE ID-TYPE UNSPECIFIED (04)TX 
145221101MEDICAID (05)TX 
8438N0MEDICARE OSCAR/CERTIFICATION (06)TX 
TIN PLUS 093OTHER (01)TXTRICARE
145221103MEDICAID (05)TX 

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-01-2020

  • Opt-Out End Date: 04-01-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1760456792, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 6 → 12 → 3 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 2 + 0 + 8 + 5 + 1 + 2 + 7 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1760456792.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Physician Assistant
1718 S HENDERSON BLVD
KILGORE, TX 75662
Family Medicine
1718 S HENDERSON BLVD, #7
KILGORE, TX 75662
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Specialist
1718 S HENDERSON BLVD, SUITE 4
KILGORE, TX 75662
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Nurse Practitioner (Family)
1718 S HENDERSON BLVD
KILGORE, TX 75662
Family Medicine
1718 S HENDERSON BLVD
KILGORE, TX 75662

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760456792, enumerated as an "individual" on February 15, 2006.

The provider is located at 1718 S HENDERSON BLVD #8 KILGORE, TX 75662 and the phone number is (903) 983-2110.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Tricare. Please consult your insurance carrier or call the provider to verify.