DEDRIC J. CLARKE MD – NPI #1508056441
Internal Medicine

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

DEDRIC CLARKE is a physician located in THIBODAUX, LA. NPPES has assigned the NPI number 1508056441 to DEDRIC CLARKE on July 26, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Clinical Cardiac Electrophysiology

The NPI profile was last updated on Mar 06, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEDRIC CLARKE below.

NPI Profile for
DEDRIC J. CLARKE

NPI Number
1508056441
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DEDRIC J. CLARKE
Credentials
MD
Primary location
602 N. ACADIA ROAD
SUITE 101
THIBODAUX, LA 70301
Phone: (985) 493-4993 Fax: (985) 493-4994
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 06, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DEDRIC CLARKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidLA1066885
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0001X
- Internal Medicine / Clinical Cardiac Electrophysiology (Primary)
LA MD.200764

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS - Graduated 2004
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DEDRIC CLARKE is affiliated with the following medical group(s):
  • HOSPITAL
    • TOURO INFIRMARY
      1401 FOUCHER STREET
      NEW ORLEANS, LA 70115

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