Dr Dallas Elise Clark, MD in Red Lodge, MT

Dr Dallas Elise Clark, MD is a medicare enrolled "Family Medicine" physician in Red Lodge, Montana. She went to University Of Washington School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Memorial Hospital Association and her current practice location is 2525 N Broadway Ave, Red Lodge, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 446-2345.

Dr Dallas Elise Clark is licensed to practice in Montana (license number MED-PHYS-LIC-77353) 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 1669822664.

Contact Information

	Dr Dallas Elise Clark, MD
	2525 N Broadway Ave, Red Lodge, MT 59068
	(406) 446-2345
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Dallas Elise Clark
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	2525 N Broadway Ave, Red Lodge, Montana
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:

Dr Dallas Elise Clark attended and graduated from University Of Washington School Of Medicine in 2016

NPI Data:

NPI Number: 1669822664
Provider Enumeration Date: 06/21/2016
Last Update Date: 09/06/2019

Medicare PECOS Information:

PECOS PAC ID: 6103158142
Enrollment ID: I20191024001931

Medical Identifiers

Medical identifiers for Dr Dallas Elise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669822664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MED-PHYS-LIC-77353 (Montana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beartooth Billings Clinic Home Care	Red lodge, MT	Home health agency
Beartooth Billings Clinic	Red lodge, MT	Hospital
Billings Clinic	Billings, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Hospital Association	1951375849	14

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 Dallas Elise Clark allows following entities to bill medicare on her behalf.

Entity Name	Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184785099 PECOS PAC ID: 1951375849 Enrollment ID: O20040825001090

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 Dallas Elise 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
Dr Dallas Elise Clark, MD 2525 N Broadway Ave, Red Lodge, MT 59068-9222 Ph: (406) 446-2345	Dr Dallas Elise Clark, MD 2525 N Broadway Ave, Red Lodge, MT 59068 Ph: (406) 446-2345

Reviews and Comments

Family Medicine Doctors in Red Lodge, MT

William George, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 South Oakes, Red Lodge, MT 59068 Phone: 406-446-2412
Dr. Gregory David Burfeind, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 N Broadway Ave, Red Lodge, MT 59068 Phone: 406-446-2345
Thomas Bradley Fouts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Robinson Ln, Red Lodge, MT 59068 Phone: 406-446-3800 Fax: 406-446-3802
Deirdre K Mcnamer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Robinson Ln, Red Lodge, MT 59068 Phone: 406-446-3800 Fax: 406-446-3802
William B. Oley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 S Oakes, Red Lodge, MT 59068 Phone: 406-446-2412

Dr Dallas Elise Clark, MD - Medicare Family Practice in Red Lodge, MT