Mr Evan Jacob Clark, MD in Mount Pleasant, WI

Mr Evan Jacob Clark, MD is a medicare enrolled "Emergency Medicine" physician in Mount Pleasant, Wisconsin. His current practice location is 13250 Washington Ave, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 799-8200.

Mr Evan Jacob Clark is licensed to practice in Wisconsin (license number 71908-20) 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 1154819951.

Contact Information

	Mr Evan Jacob Clark, MD
	13250 Washington Ave, Mount Pleasant, WI 53177-1516
	(262) 799-8200
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Evan Jacob Clark
Gender	Male
Speciality
Experience	Years
Location	13250 Washington Ave, Mount Pleasant, Wisconsin
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:

Mr Evan Jacob Clark attended and graduated from in

NPI Data:

NPI Number: 1154819951
Provider Enumeration Date: 04/26/2018
Last Update Date: 04/13/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Evan Jacob Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154819951	NPI	-	NPPES
100093430	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2021019559 (Missouri)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207P00000X	Emergency Medicine	71908-20 (Wisconsin)	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. Mr Evan Jacob 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
Mr Evan Jacob Clark, MD 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (262) 799-8200	Mr Evan Jacob Clark, MD 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (262) 799-8200

Reviews and Comments

Emergency Medicine Doctors in Mount Pleasant, WI

Dr. James Samuel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088 Fax: 262-884-4078
Michael G Manske, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088
Dr. Joseph Thomas Humphrey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4201 Fax: 262-687-4334
Dr. Suhas Channappa, M.D., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012
Dr. Matthew John Clark, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4493
Dr. Maria Gomez, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012

Mr Evan Jacob Clark, MD - Medicare in Mount Pleasant, WI