Dr Randil L Clark, MD is a medicare enrolled "Urology" physician in Coeur D' Alene, Idaho. His current practice location is
980 Ironwood Dr W, Ste 104, Coeur D' Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 667-0621.
Dr Randil L Clark is licensed to practice in Idaho (license number M-5699) 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 1205961182.
Physician's Profile
| Full Name | Dr Randil L Clark |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 980 Ironwood Dr W, Coeur D' Alene, Idaho |
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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 Randil L Clark attended and graduated from in
NPI Data:
- NPI Number: 1205961182
- Provider Enumeration Date: 02/22/2007
- Last Update Date: 05/25/2012
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Randil L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205961182 | NPI | - | NPPES |
| 002667200 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | M-5699 (Idaho) | Primary |
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 Randil L 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 Randil L Clark, MD
980 Ironwood Dr W, Ste 104,
Coeur D' Alene, ID 83814
Ph: (208) 667-0621 | Dr Randil L Clark, MD
980 Ironwood Dr W, Ste 104,
Coeur D' Alene, ID 83814
Ph: (208) 667-0621 |
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