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Active NPI 1750364188 Individual Practitioner Male Practitioner

Dennis Jay Clark , PA-C

Physician Assistant • Groveton, TX

Professional Overview & Biography Verified Profile Summary

Dennis Clark, PA-C is a registered healthcare professional specializing in Physician Assistant in Groveton, TX. Practice services are available at 110 MAGEE under active NPI credentials.

Frequently performed procedures and clinical services include complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, manual urinalysis test with examination using microscope, non-automated, hemoglobin a1c level, by device for home use. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

110 Magee

Groveton, TX 758454185

Telephone 9366420841
Fax 9366420849
Associated Practice Facility / Clinic
🏢 D&f Med, Pllc Facility NPI 1609241157

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Groveton, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Groveton, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
29 20 $16.00 $8.46
81000 Manual urinalysis test with examination using microscope, non-automated
15 15 $16.00 $3.94

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA 02393

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
203876201 (TX)
Medicaid State Provider ID
203876202 (TX)
Commercial Insurance / Payer ID License
PA 02393 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. James Cochran , MD

Family Medicine

NPI 1154304467

Doctor of Medicine (M.D.)

Cecilia Dixon , FNP-C

Nurse Practitioner - Family

NPI 1275339699

Family Nurse Practitioner (Certified)

Dr. James Griffin , MD

General Practice

NPI 1497135859

Doctor of Medicine (M.D.)

Ira Gillum , PA-C

Physician Assistant

NPI 1528041951

Physician Assistant (Certified)

Keith Jones , PA-C

Physician Assistant - Medical

NPI 1811178031

Physician Assistant (Certified)

Melanie Parker , FNP

Nurse Practitioner - Family

NPI 1952869760

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location July 28, 2010

Registered at 110 MAGEE, GROVETON, TX 758454185 (Tel: 9366420841)

📍
Updated Business Mailing Address July 28, 2010

Registered at PO BOX 459, 110 MAGEE STREET, GROVETON, TX 758450459 (Tel: 9366420841)

👤
Provider Name / Credentials Updated July 28, 2010

Recorded as DENNIS CLARK, PA C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2010

Physician Assistant (License #PA 02393 in TX)

🟢
Initial NPI Registration & Enumeration November 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750364188
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2005
Last Update: July 28, 2010
Sole Proprietor: No

Mailing Address

Po Box 459, 110 Magee Street

Groveton, TX 758450459

Phone: 9366420841

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.