Thomas H Clark, MD in Providence, UT - Medicare Family Practice

Thomas H Clark, MD is a medicare enrolled "Family Medicine" physician in Providence, Utah. He went to University Of Utah School Of Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ogden Clinic Pc and his current practice location is 595 W 465 N, Providence, Utah. You can reach out to his office (for appointments etc.) via phone at (385) 238-3900.

Thomas H Clark is licensed to practice in Utah (license number 6049303-1205) 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 1295741114.

Contact Information

	Thomas H Clark, MD
	595 W 465 N, Providence, UT 84332
	(385) 238-3900
	(385) 238-3901

Map and Direction

Physician's Profile

Full Name	Thomas H Clark
Gender	Male
Speciality	Family Practice
Experience	27 Years
Location	595 W 465 N, Providence, 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:

Thomas H Clark attended and graduated from University Of Utah School Of Medicine in 1998

NPI Data:

NPI Number: 1295741114
Provider Enumeration Date: 07/31/2006
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7517989171
Enrollment ID: I20060111001244

Medical Identifiers

Medical identifiers for Thomas H Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295741114	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	6049303-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Hospital	Logan, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ogden Clinic Pc	9638078033	101

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. Thomas H Clark allows following entities to bill medicare on his behalf.

Entity Name	Ogden Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Thomas H 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
Thomas H Clark, MD Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500	Thomas H Clark, MD 595 W 465 N, Providence, UT 84332 Ph: (385) 238-3900

Reviews and Comments

Family Medicine Doctors in Providence, UT

Dr. Kevin R Duke, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
Vera B Carlson, MD, PHD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 565 W 465 N Ste 130, Providence, UT 84332 Phone: 435-752-5553 Fax: 435-755-5043
Jeremy Broadhurst, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 190 S Highway 165, Providence, UT 84332 Phone: 435-755-3300
Andrew B Grose, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
Dr. Lars Bergeson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922
James Dennis Mathews, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 382 W 280 N, Providence, UT 84332 Phone: 435-752-0330 Fax: 435-755-0922

Thomas H Clark, MD - Medicare Family Practice in Providence, UT