Dr Stanley Corbin Clark, MD in Sandy, UT

Dr Stanley Corbin Clark, MD is a medicare enrolled "Urology" physician in Sandy, Utah. His current practice location is 9690 S 1300 E, 100, Sandy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 571-5121.

Dr Stanley Corbin Clark is licensed to practice in Utah (license number 172492-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1770591620.

Contact Information

	Dr Stanley Corbin Clark, MD
	9690 S 1300 E, 100, Sandy, UT 84094-3721
	(801) 571-5121
	(801) 572-5358

Map and Direction

Physician's Profile

Full Name	Dr Stanley Corbin Clark
Gender	Male
Speciality	Urology
Location	9690 S 1300 E, Sandy, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770591620
Provider Enumeration Date: 08/04/2006
Last Update Date: 05/08/2012

Medicare PECOS Information:

PECOS PAC ID: 0749280121
Enrollment ID: I20230927002388

Medical Identifiers

Medical identifiers for Dr Stanley Corbin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770591620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	172492-1205 (Utah)	Primary

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 Stanley Corbin Clark allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744

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 Stanley Corbin 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 Stanley Corbin Clark, MD 9690 S 1300 E, 100, Sandy, UT 84094-3721 Ph: (801) 571-5121	Dr Stanley Corbin Clark, MD 9690 S 1300 E, 100, Sandy, UT 84094-3721 Ph: (801) 571-5121

Reviews and Comments

Urology Doctors in Sandy, UT

Dr. Elisabeth A Ferlic, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 9720 S 1300 E, Suite E230, Sandy, UT 84094 Phone: 801-501-2950 Fax: 801-501-2951
Dr. Richard Francis Labasky, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E, #303, Sandy, UT 84094 Phone: 801-501-5300 Fax: 801-501-5350
Dr. Jay B Page, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9600 S 1300 E Ste 240, Sandy, UT 84094 Phone: 801-993-1800

Dr Stanley Corbin Clark, MD - Medicare Urology in Sandy, UT