Clark R Daines, MD in Idaho Falls, ID

Clark R Daines, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Idaho Falls, Idaho. He went to University Of Washington School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Pathology Associates Of Idaho Falls P A and his current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-6050.

Clark R Daines is licensed to practice in Idaho (license number M11914) 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 1144264045.

Contact Information

	Clark R Daines, MD
	3100 Channing Way, Idaho Falls, ID 83404-7533
	(208) 529-6050
	(208) 529-7085

Map and Direction

Physician's Profile

Full Name	Clark R Daines
Gender	Male
Speciality	Pathology
Experience	30 Years
Location	3100 Channing Way, Idaho Falls, Idaho
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:

Clark R Daines attended and graduated from University Of Washington School Of Medicine in 1994

NPI Data:

NPI Number: 1144264045
Provider Enumeration Date: 06/15/2006
Last Update Date: 06/16/2014

Medicare PECOS Information:

PECOS PAC ID: 2860393295
Enrollment ID: I20130613000635

Medical Identifiers

Medical identifiers for Clark R Daines such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144264045	NPI	-	NPPES
M11914	Other	ID	STATE LICENSE
79892	Other	ID	BLUE CROSS IDAHO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	M11914 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastern Idaho Regional Medical Center	Idaho falls, ID	Hospital
Idaho Falls Community Hospital, Llc	Idaho falls, ID	Hospital
Mountain View Hospital	Idaho falls, ID	Hospital
Steele Memorial Medical Center	Salmon, ID	Hospital
Bear Lake Memorial Hospital	Montpelier, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pathology Associates Of Idaho Falls P A	8527157700	6

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. Clark R Daines allows following entities to bill medicare on his behalf.

Entity Name	Pathology Associates Of Idaho Falls P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497723241 PECOS PAC ID: 8527157700 Enrollment ID: O20071211000664

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. Clark R Daines 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
Clark R Daines, MD 1820 E 17th St, Ste 230, Idaho Falls, ID 83404-6469 Ph: (208) 529-9779	Clark R Daines, MD 3100 Channing Way, Idaho Falls, ID 83404-7533 Ph: (208) 529-6050

Reviews and Comments

Pathology Doctors in Idaho Falls, ID

Gary Earl Ellwein, MD Pathology Medicare: Medicare Enrolled Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6050 Fax: 208-529-7085
Matt Tannenbaum, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6050 Fax: 208-529-7085
Floyd Joseph Fantelli, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6050 Fax: 208-529-7085
Dr. Gabriele Emma Teermann, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3100 Channing Way, Idaho Falls, ID 83404 Phone: 208-529-6048 Fax: 208-529-7085

Clark R Daines, MD - Medicare Pathology in Idaho Falls, ID