Dr Clark Renwick Herniman, DO in Jamestown, ND

Dr Clark Renwick Herniman, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Jamestown, North Dakota. He went to Ohio University, College Of Osteopathic Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice North Dakota State Hospital and his current practice location is 2605 Circle Dr, Jamestown, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 253-3650.

Dr Clark Renwick Herniman is licensed to practice in North Dakota (license number 13436) 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 1720373996.

Contact Information

	Dr Clark Renwick Herniman, DO
	2605 Circle Dr, Jamestown, ND 58401-6905
	(701) 253-3650
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Clark Renwick Herniman
Gender	Male
Speciality	Psychiatry
Experience	14 Years
Location	2605 Circle Dr, Jamestown, North Dakota
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:

Dr Clark Renwick Herniman attended and graduated from Ohio University, College Of Osteopathic Medicine in 2011

NPI Data:

NPI Number: 1720373996
Provider Enumeration Date: 06/15/2011
Last Update Date: 12/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7113160094
Enrollment ID: I20160202001013

Medical Identifiers

Medical identifiers for Dr Clark Renwick Herniman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720373996	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	13436 (North Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Dakota State Hospital	5698734374	9

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. Dr Clark Renwick Herniman allows following entities to bill medicare on his behalf.

Entity Name	North Dakota State Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649227075 PECOS PAC ID: 5698734374 Enrollment ID: O20041007000543

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. Dr Clark Renwick Herniman 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
Dr Clark Renwick Herniman, DO 158 7th St Nw, Valley City, ND 58072-2539 Ph: (713) 805-9265	Dr Clark Renwick Herniman, DO 2605 Circle Dr, Jamestown, ND 58401-6905 Ph: (701) 253-3650

Reviews and Comments

Psychiatry & Neurology Doctors in Jamestown, ND

Dr. Mallory Skorheim, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300
Dr. Eduardo P Yabut, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400
Kathryn Marie Banet, PMHNP-BC Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 300 2nd Ave Ne, Jamestown, ND 58401 Phone: 701-251-6000
Dr. Ronald J Cavanagh, MD MPH Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6325 Fax: 701-253-6400
Dr. Alan J Broadhead, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 517 3 Ave Ne, Jamestown, ND 58401 Phone: 701-252-6300 Fax: 701-253-6400
Dr. David L Clinkenbeard, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 520 3rd St Nw, Jamestown, ND 58401 Phone: 701-253-6300 Fax: 701-253-6400

Dr Clark Renwick Herniman, DO - Medicare Psychiatry in Jamestown, ND