Ryan William Clark, DO in Green Bay, WI - Medicare Interventional Pain Management

Ryan William Clark, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Green Bay, Wisconsin. He went to Western University Of Health Sciences College Of Dental Med and graduated in 2013 and has 11 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Baycare Clinic Llp and his current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-8377.

Ryan William Clark is licensed to practice in Wisconsin (license number 67188) 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 1720499759.

Contact Information

	Ryan William Clark, DO
	2845 Greenbrier Rd, Green Bay, WI 54311-6519
	(920) 288-8377
	(920) 288-8385

Map and Direction

Physician's Profile

Full Name	Ryan William Clark
Gender	Male
Speciality	Interventional Pain Management
Experience	11 Years
Location	2845 Greenbrier Rd, Green Bay, 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:

Ryan William Clark attended and graduated from Western University Of Health Sciences College Of Dental Med in 2013

NPI Data:

NPI Number: 1720499759
Provider Enumeration Date: 05/13/2014
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9537467576
Enrollment ID: I20180911000823

Medical Identifiers

Medical identifiers for Ryan William Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720499759	NPI	-	NPPES
100068648	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	67188 (Wisconsin)	Secondary
208VP0000X	Pain Medicine - Pain Medicine	67188 (Wisconsin)	Secondary
208VP0014X	Pain Medicine - Interventional Pain Medicine	67188 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Door County Medical Center	Sturgeon bay, WI	Hospital
Aurora Baycare Medical Ctr	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Clinic Llp	4385554328	185

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. Ryan William Clark allows following entities to bill medicare on his behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

Entity Name	Aurora Advanced Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Ryan William 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
Ryan William Clark, DO Po Box 28900, Green Bay, WI 54324-0900 Ph: (920) 288-8377	Ryan William Clark, DO 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-8377

Reviews and Comments

Pain Medicine Doctors in Green Bay, WI

Timothy R Cooper, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 877-229-0273 Fax: 920-288-4863
Dr. Reginald E Julien, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-0111
Ahmet Dervish, MD Pain Medicine Medicare: Medicare Enrolled Practice Location: 2845 Greenbrier Rd Ste 340, Green Bay, WI 54311 Phone: 920-288-8380 Fax: 920-288-8385
Dr. Ajeet Sharma, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 844-276-5853 Fax: 262-439-7674
Dr. Amy C. Yeatman, D.O. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-431-5607

Ryan William Clark, DO - Medicare Interventional Pain Management in Green Bay, WI