Dr Scott Clark, MD - Medicare Dermatology in Longmont, CO

Dr Scott Clark, MD is a medicare enrolled "Dermatology" physician in Longmont, Colorado. He went to Baylor College Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 1925 W Mountain View Ave, Longmont, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 776-1234.

Dr Scott Clark is licensed to practice in Colorado (license number 25764) 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 1366447740.

Contact Information

Dr Scott Clark, MD
1925 W Mountain View Ave,
Longmont, CO 80501-3128
(303) 776-1234
(720) 494-3107

Map and Direction




Physician's Profile

Full NameDr Scott Clark
GenderMale
SpecialityDermatology
Experience44 Years
Location1925 W Mountain View Ave, Longmont, Colorado
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 Scott Clark attended and graduated from Baylor College Of Medicine in 1980
  NPI Data:
  • NPI Number: 1366447740
  • Provider Enumeration Date: 06/14/2005
  • Last Update Date: 03/10/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8628962933
  • Enrollment ID: I20100826001220

Medical Identifiers

Medical identifiers for Dr Scott Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366447740NPI-NPPES
01257641MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 25764 (Colorado)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poudre Valley Medical Group Llc96382085491605

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 Scott Clark allows following entities to bill medicare on his behalf.
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

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 Scott 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 Scott Clark, MD
1925 W Mountain View Ave,
Longmont, CO 80501-3128

Ph: (303) 776-1234
Dr Scott Clark, MD
1925 W Mountain View Ave,
Longmont, CO 80501-3128

Ph: (303) 776-1234

Reviews and Comments


Dermatology Doctors in Longmont, CO

Dr. Kristin M Baird, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1551 Professional Ln, Suite 135, Longmont, CO 80501
Phone: 303-532-2810    Fax: 303-532-2816
John Christopher Fueston, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 205 S Main St, Suite E, Longmont, CO 80501
Phone: 303-485-8913    Fax: 303-485-8914
Dr. Brad Robin Baack, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Mountain View Ave, Longmont, CO 80501
Phone: 720-494-3118    Fax: 970-237-8035
Mrs. Isabel Koelsch, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1850 Mountain View Ave, Longmont, CO 80501
Phone: 303-776-1500    Fax: 303-772-2995
Dr. Peter Bachmann, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1925 Mountain View Ave, Longmont, CO 80501
Phone: 303-776-1234    Fax: 720-494-3107

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.