| Dr James M Clark, DO | |
|
700 S Main St, Moscow, ID 83843 | |
| (208) 882-4511 | |
| Not Available |
| Full Name | Dr James M Clark |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 700 S Main St, Moscow, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578523577 | NPI | - | NPPES |
| 1578523577 | Medicaid | ID | |
| 806111700 | Medicaid | ID | |
| 1578523577 | Medicaid | MT | |
| 1578523577 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OP00001738 (Washington) | Secondary |
| 207P00000X | Emergency Medicine | O-272 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pullman Regional Hospital | Pullman, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Public Hospital District 1-a Of Whitman County | 8325934987 | 82 |
| Entity Name | Public Hospital District #1-a Of Whitman County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506 |
| Entity Name | Public Hospital District #1-a Of Whitman County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20070912000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James M Clark, DO 700 S Main St, Moscow, ID 83843-3046 Ph: (208) 882-4511 | Dr James M Clark, DO 700 S Main St, Moscow, ID 83843 Ph: (208) 882-4511 |
Lauren Brogis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 | |
Heather Beasley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |
Dr. Debra K Mckinnon, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |
Dr. Kurt R Martyn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 700 S Main St, Moscow, ID 83843 Phone: 208-882-4511 Fax: 208-883-6580 | |
Victoria Bernard, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 619 S Washington St, Moscow, ID 83843 Phone: 209-892-1346 | |
William E Caldwell, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 623 S Main St, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 |