| Molly Regina Marie Clark, MD | |
|
640 Jackson St, Saint Paul, MN 55101-2502 | |
| (651) 254-3456 | |
| Not Available |
| Full Name | Molly Regina Marie Clark |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 7 Years |
| Location | 640 Jackson St, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295222487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 69903 (Minnesota) | Secondary |
| 208M00000X | Hospitalist | 69903 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regions Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Plan Inc | 1759293954 | 1487 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Regina Marie Clark, MD 640 Jackson St, Saint Paul, MN 55101-2595 Ph: (651) 254-3456 | Molly Regina Marie Clark, MD 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-3456 |
Christopher Lam, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1390 University Ave W, Saint Paul, MN 55104 Phone: 651-232-4800 | |
Dr. Panduka N Samarawardana, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Saint Paul, MN 55102 Phone: 651-241-8000 | |
Shannon Elizabeth Hayes, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 952-967-7977 Fax: 651-254-9673 | |
Margaret L Guthrie, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 333 Smith Ave N, Suite 4314a, Saint Paul, MN 55102 Phone: 651-241-8436 Fax: 651-241-2793 | |
Dr. Lourdes Gomez Villaume, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Dr. Brian David Tomich, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 | |
Matthew Malachy Thielman, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 333 Smith Ave N, Suite 4314a, Saint Paul, MN 55102 Phone: 651-241-8436 |