Dr Gregory Alexander Clark, OD in Coon Rapids, MN

Dr Gregory Alexander Clark, OD is a medicare enrolled "Optometrist" provider in Coon Rapids, Minnesota. He went to Illinois College Of Optometry At Chicago and graduated in 2001 and has 24 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Gregory Clark, O.d., Inc. and his current practice location is 12547 Riverdale Blvd Nw, Costco Optical Department, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 712-7761.

Dr Gregory Alexander Clark is licensed to practice in Minnesota (license number 2806) 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 1467521153.

Contact Information

	Dr Gregory Alexander Clark, OD
	12547 Riverdale Blvd Nw, Costco Optical Department, Coon Rapids, MN 55448-6708
	(763) 712-7761
	(763) 712-7787

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gregory Alexander Clark
Gender	Male
Speciality	Optometry
Experience	24 Years
Location	12547 Riverdale Blvd Nw, Coon Rapids, Minnesota
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:

Dr Gregory Alexander Clark attended and graduated from Illinois College Of Optometry At Chicago in 2001

NPI Data:

NPI Number: 1467521153
Provider Enumeration Date: 11/07/2006
Last Update Date: 11/29/2012

Medicare PECOS Information:

PECOS PAC ID: 8426153867
Enrollment ID: I20070413000410

Medical Identifiers

Medical identifiers for Dr Gregory Alexander Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467521153	NPI	-	NPPES
163474700	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2806 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gregory Clark, O.d., Inc.	5799880142	3

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. Dr Gregory Alexander Clark allows following entities to bill medicare on his behalf.

Provider Name	Gregory Clark, O.d., Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801965504 PECOS PAC ID: 5799880142 Enrollment ID: O20070413000415

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. Dr Gregory Alexander 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
Dr Gregory Alexander Clark, OD 16160 22nd Pl N, Plymouth, MN 55447-2382 Ph: (612) 703-0298	Dr Gregory Alexander Clark, OD 12547 Riverdale Blvd Nw, Costco Optical Department, Coon Rapids, MN 55448-6708 Ph: (763) 712-7761

Reviews and Comments

Optometrist in Coon Rapids, MN

Dr. Kristi Jo Backer Palmer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Dr. Bridget C Axelson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Phone: 763-421-7420
Robert Dodge, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12737 Riverdale Blvd Nw, Coon Rapids, MN 55448 Phone: 763-433-3468
Nordin Eye Care Associates Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13020 Riverdale Dr Nw, Coon Rapids, MN 55448 Phone: 763-421-9652
James Conrad Verkuilen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Vista Family Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9920 Foley Blvd Nw Ste 120, Coon Rapids, MN 55433 Phone: 763-843-7153
Dr. Paul Chadima Hammond, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3777 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433 Phone: 763-421-7420

Dr Gregory Alexander Clark, OD - Medicare Optometrist in Coon Rapids, MN