Mr Ryan Patrick Clark, PHYSICIAN ASSISTANT - Medicare Physician Assistant in West Frankfort, IL

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Mr Ryan Patrick Clark, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" in West Frankfort, Illinois. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sound Physicians Of Illinois Llc and his current practice location is 309 W Saint Louis St, West Frankfort, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 932-2200.

Mr Ryan Patrick Clark is licensed to practice in Illinois (license number 085005075) 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 1013335496.

Contact Information

Mr Ryan Patrick Clark, PHYSICIAN ASSISTANT
309 W Saint Louis St,
West Frankfort, IL 62896-2099
(618) 932-2200
Not Available

Map and Direction




Provider's Profile

Full NameMr Ryan Patrick Clark
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location309 W Saint Louis St, West Frankfort, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Ryan Patrick Clark graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1013335496
  • Provider Enumeration Date: 04/02/2014
  • Last Update Date: 08/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7416177084
  • Enrollment ID: I20150518000767

Medical Identifiers

Medical identifiers for Mr Ryan Patrick Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013335496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 085005075 (Illinois)Primary
363A00000XPhysician Assistant 2014009216 (Missouri)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Joseph Hospital-lake Saint LouisLake saint louis, MOHospital
Ssm Health St Joseph Hospital-st CharlesSaint charles, MOHospital
Ssm Health Depaul Hospital St LouisBridgeton, MOHospital
Mercy Hospital LincolnTroy, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sound Physicians Of Illinois Llc1557533734193

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. Mr Ryan Patrick Clark allows following entities to bill medicare on his behalf.
Entity NameCogent Healthcare of Missouri Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780961599
PECOS PAC ID: 5597925099
Enrollment ID: O20120320000863
Entity NameSoutheastern Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235
Entity NameSound Physicians of Illinois LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20170519000666

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. Mr Ryan Patrick 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 AddressPractice Location Address
Mr Ryan Patrick Clark, PHYSICIAN ASSISTANT
132 Houston St,
Saint Charles, MO 63301-1620

Ph: (636) 293-2038		Mr Ryan Patrick Clark, PHYSICIAN ASSISTANT
309 W Saint Louis St,
West Frankfort, IL 62896-2099

Ph: (618) 932-2200

Reviews and Comments


Physician Assistant Nurses in West Frankfort, IL

Ms. Angela H Henson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 310 West St. Louis Street, West Frankfort, IL 62896
Phone: 618-993-0404    Fax: 618-993-1717
Mr. Jason Dorris, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 309 W Saint Louis St Ste B, West Frankfort, IL 62896
Phone: 618-932-2200    
David Mason, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896
Phone: 618-937-3400    Fax: 618-997-9324
Alicia D Markley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896
Phone: 618-932-3937    Fax: 618-932-2734
Amy Stacey, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896
Phone: 618-937-3400    Fax: 618-997-9324
Mr. Robert Thomas Dinga, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896
Phone: 618-937-3400    Fax: 618-997-9324

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.