| Jack O Clark, MD | |
|
450 E Main St, Rexburg, ID 83440 | |
| (208) 359-6419 | |
| (208) 356-3111 |
| Full Name | Jack O Clark |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 450 E Main St, Rexburg, Idaho |
| 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 |
|---|---|---|---|
| 1902992837 | NPI | - | NPPES |
| 10018055 | Other | ID | REGENCE BCBS IDAHO |
| 114780300 | Medicaid | WY | |
| 80633500 | Medicaid | ID | |
| 58289 | Other | ID | BLUE CROSS IDAHO |
| 805499200 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-7743 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack O Clark, MD 450 E Main St, Rexburg, ID 83440-2048 Ph: (208) 359-6419 | Jack O Clark, MD 450 E Main St, Rexburg, ID 83440 Ph: (208) 359-6419 |
Dr. Steven Hansen Lofgran, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 37 S 2nd E, Rexburg, ID 83440 Phone: 208-356-0234 Fax: 208-656-8444 | |
Mr. Craig D Heiner, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 240 East Main, Rexburg, ID 83440 Phone: 208-356-8808 Fax: 208-356-8810 | |
Dr. Hans Thurgood Redd, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Shc, Rexburg, ID 83460 Phone: 208-496-1300 Fax: 208-496-1306 | |
Dr. Dane J Dickson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 Walker Drive, Rexburg, ID 83440 Phone: 208-356-9559 Fax: 208-356-6601 | |
Rodney Bates Jr., DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 36 Professional Plz, Rexburg, ID 83440 Phone: 208-359-9411 Fax: 208-656-8444 |