Mr Dallas Layne Clark, PT - Medicare Physical Therapist in Diamondville, WY

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Mr Dallas Layne Clark, PT is a medicare enrolled "Physical Therapist" provider in Diamondville, Wyoming. His current practice location is 20 Adaville Drive, Suite 10, Diamondville, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 877-1000.

Mr Dallas Layne Clark is licensed to practice in Wyoming (license number 802) 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 1972693497.

Contact Information

Mr Dallas Layne Clark, PT
20 Adaville Drive, Suite 10,
Diamondville, WY 83116
(307) 877-1000
(307) 877-1000

Map and Direction




Healthcare Provider's Profile

Full NameMr Dallas Layne Clark
GenderMale
Speciality
Experience Years
Location20 Adaville Drive, Diamondville, Wyoming
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 Dallas Layne Clark attended and graduated from in
  NPI Data:
  • NPI Number: 1972693497
  • Provider Enumeration Date: 10/13/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Mr Dallas Layne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972693497NPI-NPPES
2282218OtherWYFIRST HEALTH PROVIDER NUM
5586872OtherWYCCN PROVIDER NUMBER
313318OtherWYBLUE CROSS BLUE SHIELD
11433480OtherWYCAQH PROVIDER ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 6293691-2401 (Utah)Secondary
225100000XPhysical Therapist 802 (Wyoming)Primary

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 Dallas Layne 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 Dallas Layne Clark, PT
Po Box 152,
Laketown, UT 84038-0152

Ph: (435) 946-3512		Mr Dallas Layne Clark, PT
20 Adaville Drive, Suite 10,
Diamondville, WY 83116

Ph: (307) 877-1000

Reviews and Comments


Physical Therapist in Diamondville, WY

Pro Physical Therapy Llc
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 20 Adaville Drive, Suite 10, Diamondville, WY 83116
Phone: 307-877-1000    Fax: 307-877-1000

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.