| Alan W Clark, PA-C | |
|
1401 S Laventure Rd, Mount Vernon, WA 98274-6033 | |
| (360) 424-2400 | |
| (360) 424-2418 |
| Full Name | Alan W Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 1401 S Laventure Rd, Mount Vernon, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538196134 | NPI | - | NPPES |
| 0164819 | Other | WA | L&I |
| 263660 | Other | WA | LABOR & INDUSTRIES |
| 8406258 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA10004220 (Washington) | Secondary |
| 363A00000X | Physician Assistant | PA10004220 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Island Hospital | Anacortes, WA | Hospital |
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Public Hospital District No 2 Skagit County Washington | 1153225198 | 77 |
| Peacehealth | 9537073960 | 292 |
| Multicare Health System | 7719899897 | 2312 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309553 PECOS PAC ID: 9537073960 Enrollment ID: O20031118001062 |
| Entity Name | Proliance Surgeons Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128 |
| Entity Name | Public Hospital District No 2 Skagit County Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740203967 PECOS PAC ID: 1153225198 Enrollment ID: O20031121000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan W Clark, PA-C 805 Madison St, Suite 901, Seattle, WA 98104-1172 Ph: (206) 264-8100 | Alan W Clark, PA-C 1401 S Laventure Rd, Mount Vernon, WA 98274-6033 Ph: (360) 424-2400 |
Madeline C. Button, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1801 E Division St, Mount Vernon, WA 98274 Phone: 360-428-2500 Fax: 360-445-8592 |
Kent Alan Fry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2320 Freeway Drive, Skagit Regional Clinics - Riverbend Orthopedics, Mount Vernon, WA 98273 Phone: 360-814-6800 Fax: 360-814-6917 |
Miss Cara Alexandra Walker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2320 Freeway Dr, Mount Vernon, WA 98273 Phone: 360-814-6800 Fax: 360-814-6953 |
Abigail Bradley, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 211 S 13th St, Mount Vernon, WA 98274 Phone: 360-814-2663 |
Ashton Taylor De Cardenas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2320 Freeway Dr, Mount Vernon, WA 98273 Phone: 360-814-6800 Fax: 360-814-6953 |
Mr. Luke M Walters, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2320 Freeway Dr, Mount Vernon, WA 98273 Phone: 360-814-6810 Fax: 360-814-6915 |
Mr. Todd L. Mclaughlin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 307 S. 13th Street, Suite 300, Mount Vernon, WA 98274 Phone: 360-336-9757 Fax: 360-814-5237 |