Dr Mark Eliot Clyde, MD is a medicare enrolled "Orthopaedic Surgery" physician in Palmer, Alaska. He went to Uniformed Services Uhs Fe Hebert School Of Med and graduated in 1989 and has 36 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Southeast Alaska Regional Health Consortium and his current practice location is
2490 S. Woodworth Loop, Ste 350, Palmer, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 745-2663.
Dr Mark Eliot Clyde is licensed to practice in Alaska (license number 4734) 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 1902840812.
Physician's Profile
| Full Name | Dr Mark Eliot Clyde |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 36 Years |
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| Location | 2490 S. Woodworth Loop, Palmer, Alaska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mark Eliot Clyde attended and graduated from Uniformed Services Uhs Fe Hebert School Of Med in 1989
NPI Data:
- NPI Number: 1902840812
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 12/12/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315942398
- Enrollment ID: I20190717000295
Medical Identifiers
Medical identifiers for Dr Mark Eliot Clyde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902840812 | NPI | - | NPPES |
| P00111691 | Other | | MDCR RAILROAD |
| MD1984 | Medicaid | AK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 4734 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Alaska Regional Health Consortium | 1456265362 | 298 |
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 Mark Eliot Clyde allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Alaska Regional Health Consortium |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631 |
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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 Mark Eliot Clyde 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 Mark Eliot Clyde, MD
2490 S. Woodworth Loop, Ste 350,
Palmer, AK 99645-7411
Ph: (907) 745-2663 | Dr Mark Eliot Clyde, MD
2490 S. Woodworth Loop, Ste 350,
Palmer, AK 99645-7411
Ph: (907) 745-2663 |
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