| Dr Cabe Riso Clark, MD | |
|
905 N 1000 W, Tremonton, UT 84337-9356 | |
| (435) 207-4500 | |
| (435) 207-4685 |
| Full Name | Dr Cabe Riso Clark |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 17 Years |
| Location | 905 N 1000 W, Tremonton, Utah |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184851230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 8780963-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mckay Dee Hospital | Ogden, UT | Hospital |
| Layton Hospital | Layton, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utah Emergency Physicians | 1153307277 | 139 |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079 |
| Entity Name | Emergency Physicians Integrated Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578598199 PECOS PAC ID: 4284548116 Enrollment ID: O20031115000013 |
| Entity Name | Utah Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588048979 PECOS PAC ID: 1153307277 Enrollment ID: O20040628001454 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cabe Riso Clark, MD Po Box 30180, Salt Lake City, UT 84130-0180 Ph: () - | Dr Cabe Riso Clark, MD 905 N 1000 W, Tremonton, UT 84337-9356 Ph: (435) 207-4500 |
Dr. Eric Stoker Okelberry, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4500 | |
Dr. Michelle Caskey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4701 | |
Daniel William Honneyman, MD, MBCHB Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4500 | |
Christopher Falslev, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 905 N 1000 W, Tremonton, UT 84337 Phone: 435-207-4500 |