Dr John Harrison Clark, DPT in Coeur D Alene, ID - Medicare Physical Therapist Provider

Dr John Harrison Clark, DPT is a medicare enrolled "Physical Therapist" provider in Coeur D Alene, Idaho. His current practice location is 7600 N Mineral Dr Ste 500, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 457-4208.

Dr John Harrison Clark is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316682297.

Contact Information

	Dr John Harrison Clark, DPT
	7600 N Mineral Dr Ste 500, Coeur D Alene, ID 83815-9425
	(208) 457-4208
	(208) 457-4197

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Harrison Clark
Gender	Male
Speciality	Physical Therapist
Location	7600 N Mineral Dr Ste 500, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316682297
Provider Enumeration Date: 05/04/2022
Last Update Date: 08/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5991184913
Enrollment ID: I20220622002570

Medical Identifiers

Medical identifiers for Dr John Harrison Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316682297	NPI	-	NPPES
1316682297	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

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 John Harrison Clark allows following entities to bill medicare on his behalf.

Provider Name	River City Physical Therapy
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1134149941 PECOS PAC ID: 4688662083 Enrollment ID: O20040513000109

Provider Name	North Idaho Day Surgery Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1104824739 PECOS PAC ID: 0840101218 Enrollment ID: O20110401000539

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 John Harrison 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 John Harrison Clark, DPT 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300	Dr John Harrison Clark, DPT 7600 N Mineral Dr Ste 500, Coeur D Alene, ID 83815-9425 Ph: (208) 457-4208

Reviews and Comments

Physical Therapist in Coeur D Alene, ID

Mark Andrew Stevens, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1812 N Lakewood Dr Ste 100, Coeur D Alene, ID 83814 Phone: 208-966-4475 Fax: 208-966-4475
Mrs. Holly D Bruns, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 W Aqua Ave, Coeur D Alene, ID 83815 Phone: 208-762-1122
Dr. Sharron Elizabeth Mcmillan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 W Haycraft Ave Ste D4, Coeur D Alene, ID 83815 Phone: 208-664-2468
Jonathan Hoelzen, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1088 W Prairie Ave, Coeur D Alene, ID 83815 Phone: 208-772-6609
Competitive Fitness & Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1321 W Northwood Center Ct, Suite B, Coeur D Alene, ID 83814 Phone: 208-665-7055 Fax: 208-665-7093
Pure Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3655 N Government Way, Suite 3, Coeur D Alene, ID 83815 Phone: 208-691-8888
Debora Caires Nelson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Ironwood Pl, Coeur D Alene, ID 83814 Phone: 208-667-6486 Fax: 208-676-8276

Dr John Harrison Clark, DPT - Medicare Physical Therapist in Coeur D Alene, ID