| Dr Spencer A Clarke, MD | |
|
624 S J St, Lakeview, OR 97630-1680 | |
| (541) 947-3366 | |
| (541) 947-4404 |
| Full Name | Dr Spencer A Clarke |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 29 Years |
| Location | 624 S J St, Lakeview, Oregon |
| 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 |
|---|---|---|---|
| 1801873591 | NPI | - | NPPES |
| 134017 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD21779 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harney District Hospital | Burns, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Health District | 4284629221 | 37 |
| Harney District Hospital | 6800877424 | 28 |
| Entity Name | Lake Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376698522 PECOS PAC ID: 4284629221 Enrollment ID: O20040419000549 |
| Entity Name | Harney District Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285742338 PECOS PAC ID: 6800877424 Enrollment ID: O20040528000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Spencer A Clarke, MD 624 S J St, Lakeview, OR 97630-1680 Ph: (541) 947-3366 | Dr Spencer A Clarke, MD 624 S J St, Lakeview, OR 97630-1680 Ph: (541) 947-3366 |
Dr. Robert W Bomengen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 624 S J St, Lakeview, OR 97630 Phone: 541-947-3366 Fax: 541-947-4404 | |
Charles Scott Graham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 620 S J St, Lakeview, OR 97630 Phone: 541-947-2331 | |
Dr. Stephen A Hussey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 S J St, Lakeview, OR 97630 Phone: 541-947-3366 Fax: 541-947-4404 | |
Dr. Timothy A Gallagher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 624 S J St, Lakeview, OR 97630 Phone: 541-947-3366 Fax: 541-947-4404 |