Jerry S Clark, DC - Medicare Chiropractor in Provo, UT

Jerry S Clark, DC is a medicare enrolled "Chiropractor" provider in Provo, Utah. He went to Western States College Of Chiropractic and graduated in 1980 and has 42 years of diverse experience with area of expertise as Chiropractic. His current practice location is 3325 N University Ave Ste 125, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 374-2774.

Jerry S Clark is licensed to practice in Utah (license number 166844-1202) 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 1114082872.

Contact Information

Jerry S Clark, DC
3325 N University Ave Ste 125,
Provo, UT 84604-6615
(801) 374-2774
(801) 374-2775

Map and Direction




Healthcare Provider's Profile

Full NameJerry S Clark
GenderMale
SpecialityChiropractic
Experience42 Years
Location3325 N University Ave Ste 125, Provo, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerry S Clark attended and graduated from Western States College Of Chiropractic in 1980
  NPI Data:
  • NPI Number: 1114082872
  • Provider Enumeration Date: 12/23/2006
  • Last Update Date: 11/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7113186586
  • Enrollment ID: I20120306000098

Medical Identifiers

Medical identifiers for Jerry S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114082872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 166844-1202 (Utah)Primary

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. Jerry S Clark allows following entities to bill medicare on his behalf.
Provider NameAlpine Spinal Rehabilitation Ctr
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1578731949
PECOS PAC ID: 2668404641
Enrollment ID: O20050910000181

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. Jerry S 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 AddressPractice Location Address
Jerry S Clark, DC
3325 N University Ave Ste 125,
Provo, UT 84604-6615

Ph: (801) 374-2774
Jerry S Clark, DC
3325 N University Ave Ste 125,
Provo, UT 84604-6615

Ph: (801) 374-2774

Reviews and Comments


Chiropractor in Provo, UT

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.