Robert Brent Clark, MD in Payson, UT - Medicare Family Medicine

Robert Brent Clark, MD is a medicare enrolled "Family Medicine" physician in Payson, Utah. His current practice location is 97 S. Professional Way, Payson, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 465-4896.

Robert Brent Clark is licensed to practice in Utah (license number 165559-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689692071.

Contact Information

	Robert Brent Clark, MD
	97 S. Professional Way, Payson, UT 84651
	(801) 465-4896
	(801) 465-4107

Map and Direction

Physician's Profile

Full Name	Robert Brent Clark
Gender	Male
Speciality	Family Medicine
Location	97 S. Professional Way, Payson, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689692071
Provider Enumeration Date: 07/17/2006
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7810087020
Enrollment ID: I20100616000684

Medical Identifiers

Medical identifiers for Robert Brent Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689692071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	165559-1205 (Utah)	Primary

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. Robert Brent 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. Robert Brent 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
Robert Brent Clark, MD 1055 N 500 W, Attn: Credentialing, Provo, UT 84604-3305 Ph: (801) 354-8225	Robert Brent Clark, MD 97 S. Professional Way, Payson, UT 84651 Ph: (801) 465-4896

Reviews and Comments

Family Medicine Doctors in Payson, UT

Dr. Renny Theodore Mcdaniel, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15 S 1000 E Ste 100, Payson, UT 84651 Phone: 801-465-9480
Britton R Ercanbrack, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 Turf Farm Rd Unit 1, Payson, UT 84651 Phone: 801-465-6250
Nolan Money, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Professional Way Ste 2, Payson, UT 84651 Phone: 801-465-4896 Fax: 801-465-4107
Dr. Jan Engle Badertscher, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 E 100 N, Ste. 1, Payson, UT 84651 Phone: 801-754-4848 Fax: 801-754-4844
Dr. Dana H Munn, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 97 Professional Way Ste 2, Payson, UT 84651 Phone: 801-465-4896
Matthew Quinn Shelton, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 97 Professional Way Ste 2, Payson, UT 84651 Phone: 801-465-4896 Fax: 018-465-4107

Robert Brent Clark, MD - Medicare Family Medicine in Payson, UT