Dr Peter Clark, MD - Medicare Family Practice in Mammoth Lakes, CA

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Dr Peter Clark, MD is a medicare enrolled "Family Medicine" physician in Mammoth Lakes, California. He went to Temple University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern Mono Health Care District and his current practice location is 85 Sierra Park Rd, Mammoth Lakes, California. You can reach out to his office (for appointments etc.) via phone at (760) 934-2551.

Dr Peter Clark is licensed to practice in California (license number A68635) 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 1528113628.

Contact Information

Dr Peter Clark, MD
85 Sierra Park Rd,
Mammoth Lakes, CA 93546-0660
(760) 934-2551
(760) 924-4081

Map and Direction




Physician's Profile

Full NameDr Peter Clark
GenderMale
SpecialityFamily Practice
Experience28 Years
Location85 Sierra Park Rd, Mammoth Lakes, California
Accepts Medicare AssignmentsYes. 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 Peter Clark attended and graduated from Temple University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1528113628
  • Provider Enumeration Date: 01/25/2007
  • Last Update Date: 03/07/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8325134083
  • Enrollment ID: I20071011000375

Medical Identifiers

Medical identifiers for Dr Peter Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528113628NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A68635 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pioneer Home Health CareBishop, CAHome health agency
Mammoth HospitalMammoth lakes, CAHospital
Northern Inyo HospitalBishop, CAHospital
Carson Tahoe Regional Medical CenterCarson city, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Mono Health Care District983000240165

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 Peter Clark allows following entities to bill medicare on his behalf.
Entity NameSouthern Mono Health Care District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962444059
PECOS PAC ID: 9830002401
Enrollment ID: O20031118001160

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 Peter 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 AddressPractice Location Address
Dr Peter Clark, MD
Po Box 660, 85 Sierra Park Rd,
Mammoth Lakes, CA 93546-0660

Ph: (760) 923-4255		Dr Peter Clark, MD
85 Sierra Park Rd,
Mammoth Lakes, CA 93546-0660

Ph: (760) 934-2551

Reviews and Comments


Family Medicine Doctors in Mammoth Lakes, CA

Dr. Dennis L. Crunk, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546
Phone: 760-934-2551    Fax: 760-924-4081
Dr. Mary Bassler, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546
Phone: 760-924-2551    Fax: 760-924-4081
Dr. Roger L Claypool, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1934 Meridian Blvd., Mammoth Lakes, CA 93546
Phone: 760-977-1797    Fax: 760-924-7733

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.