Randy R Clark, MD in St George, UT - Medicare Orthopedic Surgery

Randy R Clark, MD is a medicare enrolled "Orthopaedic Surgery" physician in St George, Utah. He went to University Of Utah School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Central Utah Clinic Pc and his current practice location is 1490 E Foremaster Dr, Suite 150, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 628-9393.

Randy R Clark is licensed to practice in Utah (license number 8203740-1205) 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 1679781140.

Contact Information

	Randy R Clark, MD
	1490 E Foremaster Dr, Suite 150, St George, UT 84790-4488
	(435) 628-9393
	(435) 628-9382

Map and Direction

Physician's Profile

Full Name	Randy R Clark
Gender	Male
Speciality	Orthopedic Surgery
Experience	18 Years
Location	1490 E Foremaster Dr, St George, Utah
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:

Randy R Clark attended and graduated from University Of Utah School Of Medicine in 2006

NPI Data:

NPI Number: 1679781140
Provider Enumeration Date: 05/18/2007
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7416127527
Enrollment ID: I20120809000659

Medical Identifiers

Medical identifiers for Randy R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679781140	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	R-7938 (Iowa)	Secondary
207XX0005X	Orthopaedic Surgery - Sports Medicine	A113846 (California)	Secondary
207X00000X	Orthopaedic Surgery	8203740-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sun Tree Home Health, Llc	St george, UT	Home health agency
Zion's Way Home Health	St george, UT	Home health agency
Dixie Regional Medical Center	St george, UT	Hospital
Cedar City Hospital	Cedar city, UT	Hospital
Milford Memorial Hospital	Milford, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Central Utah Clinic Pc	7517868508	391

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. Randy R Clark allows following entities to bill medicare on his behalf.

Entity Name	Central Utah Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093764805 PECOS PAC ID: 7517868508 Enrollment ID: O20040113000805

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. Randy R 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
Randy R Clark, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Randy R Clark, MD 1490 E Foremaster Dr, Suite 150, St George, UT 84790-4488 Ph: (435) 628-9393

Reviews and Comments

Orthopaedic Surgery Doctors in St George, UT

Zachary Scott Jager, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 652 S Medical Center Dr Ste 120, St George, UT 84790 Phone: 435-251-3600
Dr. Zachary Robert Leitze, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 652 S Medical Center Dr, Suite 120, St George, UT 84790 Phone: 435-628-4460
Dr. Michael Anderson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1490 E Foremaster Dr, #150, St George, UT 84790 Phone: 435-628-9393 Fax: 435-628-9382
Dr. Aaron Michael O'brien, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1490 E Foremaster Dr, Ste 150, St George, UT 84790 Phone: 435-628-9393 Fax: 435-628-9382
Dr. Todd Richard Parry, M.D Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1490 E Foremaster Dr Ste 150, St George, UT 84790 Phone: 435-628-9393 Fax: 435-628-9382
Dirk L Slade, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 652 S Medical Center Dr, Ste 400, St George, UT 84790 Phone: 435-251-2650 Fax: 435-251-2668
Andrew Kenneth Ence, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2825 E Mall Dr, St George, UT 84790 Phone: 435-628-9393

Randy R Clark, MD - Medicare Orthopedic Surgery in St George, UT