Timothy M Clark, MD in Boulder, CO - Medicare Pulmonary Disease

Timothy M Clark, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Boulder, Colorado. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1994 and has 30 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Boulder Community Health and his current practice location is 4820 Riverbend Rd Ste 100, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 415-5399.

Timothy M Clark is licensed to practice in Colorado (license number 38716) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043265663.

Contact Information

	Timothy M Clark, MD
	4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618
	(303) 415-5399
	(303) 297-5808

Map and Direction

Physician's Profile

Full Name	Timothy M Clark
Gender	Male
Speciality	Pulmonary Disease
Experience	30 Years
Location	4820 Riverbend Rd Ste 100, Boulder, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Timothy M Clark attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1994

NPI Data:

NPI Number: 1043265663
Provider Enumeration Date: 05/23/2006
Last Update Date: 05/10/2019

Medicare PECOS Information:

PECOS PAC ID: 7315081080
Enrollment ID: I20100218000393

Medical Identifiers

Medical identifiers for Timothy M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043265663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	38716 (Colorado)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	38716 (Colorado)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Boulder Community Health	Boulder, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Boulder Community Health	6800707233	212

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Timothy M Clark allows following entities to bill medicare on his behalf.

Entity Name	Boulder Community Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821074196 PECOS PAC ID: 6800707233 Enrollment ID: O20040123000284

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy M Clark is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Timothy M Clark, MD 5450 Western Ave, Boulder, CO 80301-2709 Ph: (303) 415-5399	Timothy M Clark, MD 4820 Riverbend Rd Ste 100, Boulder, CO 80301-2618 Ph: (303) 415-5399

Reviews and Comments

Internal Medicine Doctors in Boulder, CO

Ms. Martha E Montour, RN Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-440-2690
Chester J Dreiman, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2562 Briarwood Dr, Boulder, CO 80305 Phone: 303-501-2195
Pamela G Ingram, MSN Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 580 Mohawk Dr, Boulder, CO 80303 Phone: 303-554-5164
Bradley D Fanestil, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4801 Riverbend Rd Ste 120b, Boulder, CO 80301 Phone: 303-415-8615 Fax: 303-293-0628
Dr. Joseph Randall Lutt, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1840 Folsom St Ste 105, Boulder, CO 80302 Phone: 720-494-4706 Fax: 720-494-4706
Dr. Amy O Campbell, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2880 Folsom St Ste 100, Boulder, CO 80304 Phone: 303-327-7047 Fax: 303-443-7168
Wael F. Garas, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 5495 Arapahoe Ave Ste 100, Boulder, CO 80303 Phone: 303-415-4250 Fax: 303-440-9629

Timothy M Clark, MD - Medicare Pulmonary Disease in Boulder, CO