Michael J Clark, DO in Thief River Falls, MN

Michael J Clark, DO is a medicare enrolled "Family Medicine" physician in Thief River Falls, Minnesota. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1980 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lakewood Health Center, Sanford Health Network North and his current practice location is 1720 Highway 59 S, Thief River Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 681-4747.

Michael J Clark is licensed to practice in Minnesota (license number 27254) 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 1215967898.

Contact Information

	Michael J Clark, DO
	1720 Highway 59 S, Thief River Falls, MN 56701-4331
	(218) 681-4747
	(218) 683-2595

Map and Direction

Physician's Profile

Full Name	Michael J Clark
Gender	Male
Speciality	Family Practice
Experience	44 Years
Location	1720 Highway 59 S, Thief River Falls, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael J Clark attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1980

NPI Data:

NPI Number: 1215967898
Provider Enumeration Date: 07/03/2006
Last Update Date: 03/25/2022

Medicare PECOS Information:

PECOS PAC ID: 2961307194
Enrollment ID: I20031202000073

Medical Identifiers

Medical identifiers for Michael J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215967898	NPI	-	NPPES
2441653	Other	FM	AMERICA'S PPO/ARAZ #
507S2CL	Other	MN	MNBS #
564508500	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	27254 (Minnesota)	Primary
207Q00000X	Family Medicine	5746 (North Dakota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Thief River Falls	Thief river falls, MN	Hospital
Lakewood Health Center	Baudette, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakewood Health Center	5698687929	8
Sanford Health Network North	8022206663	85

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. Michael J Clark allows following entities to bill medicare on his behalf.

Entity Name	Lakewood Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972799237 PECOS PAC ID: 5698687929 Enrollment ID: O20031104000469

Entity Name	Lifecare Medical Center
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1609861095 PECOS PAC ID: 4789586884 Enrollment ID: O20061104000664

Entity Name	Lakewood Health Center
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1922072776 PECOS PAC ID: 5698687929 Enrollment ID: O20080118000179

Entity Name	Sanford Health Network North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429

Entity Name	Sanford Health Network North
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872

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. Michael J 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
Michael J Clark, DO 1720 Highway 59 S, Thief River Falls, MN 56701-4331 Ph: (218) 681-4747	Michael J Clark, DO 1720 Highway 59 S, Thief River Falls, MN 56701-4331 Ph: (218) 681-4747

Reviews and Comments

Family Medicine Doctors in Thief River Falls, MN

Scott W Petrescue, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-684-4747
Katherine Joseph, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-281-4747
Dr. Hugh Ben Cowan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Northwest Medical Center, Thief River Falls, MN 56701 Phone: 218-681-4240
Duane C Browning, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595
Dr. Roy Taylor Klossner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-683-2725
Hazem M Sedra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 213 Labree Ave N Ste 207, Thief River Falls, MN 56701 Phone: 218-683-5137 Fax: 218-683-5413

Michael J Clark, DO - Medicare Family Practice in Thief River Falls, MN