Michael Clark, OD in Brigham City, UT - Medicare Optometry Provider

Michael Clark, OD is a medicare enrolled "Optometrist" provider in Brigham City, Utah. He graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Promontory Vision Partners and his current practice location is 990 Medical Dr Ste G3, Brigham City, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 374-2097.

Michael Clark is licensed to practice in Utah (license number 10841920-9934) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1558858464.

Contact Information

	Michael Clark, OD
	990 Medical Dr Ste G3, Brigham City, UT 84302
	(435) 374-2097
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Clark
Gender	Male
Speciality	Optometry
Experience	7 Years
Location	990 Medical Dr Ste G3, Brigham City, Utah
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michael Clark graduated from medical school in 2018

NPI Data:

NPI Number: 1558858464
Provider Enumeration Date: 04/16/2018
Last Update Date: 06/04/2018

Medicare PECOS Information:

PECOS PAC ID: 7416203138
Enrollment ID: I20180710002319

Medical Identifiers

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

Identifier	Type	State	Issuer
1558858464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	10841920-9934 (Utah)	Secondary
152W00000X	Optometrist	10841920-9934 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Promontory Vision Partners	3375602790	4

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

Provider Name	David P. Lewis Md Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427115831 PECOS PAC ID: 3173555141 Enrollment ID: O20050910000117

Provider Name	Promontory Vision Partners
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013187822 PECOS PAC ID: 3375602790 Enrollment ID: O20081030000086

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. Michael 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
Michael Clark, OD 990 Medical Dr Ste G3, Brigham City, UT 84302-3077 Ph: (435) 374-2097	Michael Clark, OD 990 Medical Dr Ste G3, Brigham City, UT 84302 Ph: (435) 374-2097

Reviews and Comments

Optometrist in Brigham City, UT

Dr. Joseph C. Olson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 547 S Main St, Brigham City, UT 84302 Phone: 435-723-2144 Fax: 435-723-4760
Dr. William L Harrison, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 E Forest St, Suite E, Brigham City, UT 84302 Phone: 435-723-2144 Fax: 435-723-4760
Dr. Gavin Lane Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 34 S Main St, Brigham City, UT 84302 Phone: 435-723-2485 Fax: 435-723-5840
Dr. Tyson Hancock, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 547 S Main St, Brigham City, UT 84302 Phone: 435-723-2144
Dr. Richard J. Bigler, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 990 South Medical Drive, Suite Gl3, Brigham City, UT 84302 Phone: 435-734-2097 Fax: 435-734-0532
Dr. Scott Roberts Haderlie, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 747 S Main St, Brigham City, UT 84302 Phone: 435-723-1800
Brigham Eye Specialists Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 990 Medical Dr, Brigham City, UT 84302 Phone: 435-734-2097 Fax: 435-734-0532

Michael Clark, OD - Medicare Optometrist in Brigham City, UT