Ellis Richard Clark, MD in Salem, OR - Medicare Anesthesiology

Ellis Richard Clark, MD is a medicare enrolled "Anesthesiology" physician in Salem, Oregon. His current practice location is 700 Bellevue St Se, Suite 300, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 364-3704.

Ellis Richard Clark is licensed to practice in Oregon (license number MD15586) 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 1750318812.

Contact Information

	Ellis Richard Clark, MD
	700 Bellevue St Se, Suite 300, Salem, OR 97301-3819
	(503) 364-3704
	Not Available

Map and Direction

Physician's Profile

Full Name	Ellis Richard Clark
Gender	Male
Speciality	Anesthesiology
Location	700 Bellevue St Se, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750318812
Provider Enumeration Date: 06/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7810073327
Enrollment ID: I20080325000154

Medical Identifiers

Medical identifiers for Ellis Richard Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750318812	NPI	-	NPPES
022509	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	MD15586 (Oregon)	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. Ellis Richard 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
Ellis Richard Clark, MD Po Box 4008, Portland, OR 97208-4008 Ph: (503) 372-2740	Ellis Richard Clark, MD 700 Bellevue St Se, Suite 300, Salem, OR 97301-3819 Ph: (503) 364-3704

Reviews and Comments

Anesthesiology Doctors in Salem, OR

Dr. Melvin D Wade, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2525 12th St Se Ste 110, Salem, OR 97302 Phone: 503-364-3704 Fax: 503-399-9722
Dr. William J Monson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3973 Croisan Mountain Dr S, Salem, OR 97302 Phone: 503-559-0501
Dr. Linda K Stevenson, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1925 Hillwood Ct S, Salem, OR 97302 Phone: 503-364-9594 Fax: 503-364-9594
John A. Borgoy, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5125 Skyline Rd S, Kaiser Permanente Skyline Clinic, Salem, OR 97306 Phone: 503-566-4520 Fax: 503-566-4557
Dr. Poly Chen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2480 Liberty St Ne, Suite 110, Salem, OR 97301 Phone: 503-371-1010
Dr. Angela N. Anderson, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 890 Oak St Se, Salem, OR 97301 Phone: 503-814-3334
Youngeun Cho, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2480 Liberty St Ne Ste 180, Salem, OR 97301 Phone: 503-371-1010

Ellis Richard Clark, MD - Medicare Anesthesiology in Salem, OR