Tyler Clark, MD in Coeur D Alene, ID - Medicare Family Practice

Tyler Clark, MD is a medicare enrolled "Family Medicine" physician in Coeur D Alene, Idaho. He graduated from medical school in 2015 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kootenai Health Inc and his current practice location is 1701 Lincoln Way, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-4955.

Tyler Clark is licensed to practice in Idaho (license number M-14362) 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 1124414305.

Contact Information

	Tyler Clark, MD
	1701 Lincoln Way, Coeur D Alene, ID 83814-2537
	(208) 625-4955
	(208) 625-4956

Map and Direction

Physician's Profile

Full Name	Tyler Clark
Gender	Male
Speciality	Family Practice
Experience	10 Years
Location	1701 Lincoln Way, Coeur D Alene, Idaho
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:

Tyler Clark graduated from medical school in 2015

NPI Data:

NPI Number: 1124414305
Provider Enumeration Date: 04/14/2015
Last Update Date: 04/16/2024

Medicare PECOS Information:

PECOS PAC ID: 0749592582
Enrollment ID: I20181102001987

Medical Identifiers

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

Identifier	Type	State	Issuer
1124414305	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	M-14362 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Advanced Home Care Of Coeur D'alene	Coeur d'alene, ID	Home health agency
Crest Home Health & Hospice, Llc	Coeur d'alene, ID	Home health agency
Eden Home Health	Sandpoint, ID	Home health agency
Kootenai Health	Coeur d'alene, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kootenai Health Inc	1355792276	382

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. Tyler Clark allows following entities to bill medicare on his behalf.

Entity Name	Kootenai Health, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235288655 PECOS PAC ID: 4789641598 Enrollment ID: O20041214000230

Entity Name	Kootenai Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174661151 PECOS PAC ID: 1355792276 Enrollment ID: O20240111003252

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. Tyler 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
Tyler Clark, MD 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 Ph: (208) 625-4955	Tyler Clark, MD 1701 Lincoln Way, Coeur D Alene, ID 83814-2537 Ph: (208) 625-4955

Reviews and Comments

Family Medicine Doctors in Coeur D Alene, ID

Erica Magers, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 914 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814 Phone: 208-625-3500 Fax: 208-625-3501
Dr. Stephen Paul Smiley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1130 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-209-0288 Fax: 208-209-0289
Heidi A Herold, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 315 W Dalton Ave Ste B, Coeur D Alene, ID 83815 Phone: 208-209-2066 Fax: 208-209-2076
Ryan John Gilles, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Dr. Matthew C. Bean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001
Alanna Caitlin Russo, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2003 Kootenai Health Way, Coeur D Alene, ID 83814 Phone: 208-625-4000
Crystal Lee Pyrak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lincoln Way, Ste 315, Coeur D Alene, ID 83814 Phone: 208-625-6000 Fax: 208-625-6001

Tyler Clark, MD - Medicare Family Practice in Coeur D Alene, ID