Susan B Clark, MS, RD, LD, CDE in Rexburg, ID

Susan B Clark, MS, RD, LD, CDE is a medicare enrolled "Dietitian, Registered" provider in Rexburg, Idaho. Her current practice location is 450 E Main St, Rexburg, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 359-6522.

Susan B Clark is licensed to practice in Idaho (license number D-393) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124676663.

Contact Information

	Susan B Clark, MS, RD, LD, CDE
	450 E Main St, Rexburg, ID 83440-2048
	(208) 359-6522
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan B Clark
Gender	Female
Speciality
Experience	Years
Location	450 E Main St, Rexburg, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan B Clark attended and graduated from in

NPI Data:

NPI Number: 1124676663
Provider Enumeration Date: 08/28/2019
Last Update Date: 08/28/2019

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Susan B Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124676663	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	D-393 (Idaho)	Primary

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. Susan B 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
Susan B Clark, MS, RD, LD, CDE 450 E Main St, Rexburg, ID 83440-2048 Ph: (208) 359-6522	Susan B Clark, MS, RD, LD, CDE 450 E Main St, Rexburg, ID 83440-2048 Ph: (208) 359-6522

Reviews and Comments

Dietitian, Registered in Rexburg, ID

Mrs. Wendy Marie Killian, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-356-5401
Dennis V Nguyen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 7312 S 400 W, Rexburg, ID 83440 Phone: 208-690-0357
Avarie Olsen, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 793 S 2275 W, Rexburg, ID 83440 Phone: 208-201-3892

Susan B Clark, MS, RD, LD, CDE - Medicare Dietitian in Rexburg, ID