| Dr Leroy A Clark, MD | |
|
100 Lake Traverse Dr, Sisseton, SD 57262-7046 | |
| (605) 698-7606 | |
| (605) 742-0812 |
| Full Name | Dr Leroy A Clark |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 100 Lake Traverse Dr, Sisseton, South 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578527115 | NPI | - | NPPES |
| 5549050 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5019 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| P H S Indian Hospital Crow / Northern Cheyenne | Crow agency, MT | Hospital |
| Big Horn Co Memorial Hospital | Hardin, MT | Hospital |
| Billings Clinic | Billings, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| U S Health Dept Of Health And Human Services | 9638081623 | 66 |
| Entity Name | Us Health Dept Of Health & Human Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leroy A Clark, MD 100 Lake Traverse Dr, Sisseton, SD 57262-7046 Ph: (605) 698-7606 | Dr Leroy A Clark, MD 100 Lake Traverse Dr, Sisseton, SD 57262-7046 Ph: (605) 698-7606 |
Mrs. Judy C Beumer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Orchard Dr, Sisseton, SD 57262 Phone: 605-698-7681 Fax: 605-698-3493 | |
Michael Paul Lowe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Orchard Dr, Sisseton, SD 57262 Phone: 605-698-7681 Fax: 605-698-6423 | |
Lois A Crawford, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
David J Barnes, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Dr. Brian F Hanley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lake Traverse Dr, Sisseton, SD 57262 Phone: 605-698-7606 | |
Dr. David T Meadows, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 205 Orchard Dr, Sisseton, SD 57262 Phone: 605-698-7681 Fax: 605-698-3493 |