Spencer Clark, in Salt Lake City, UT - Medicare Physical Therapy Provider

Spencer Clark, is a medicare enrolled "Physical Therapist" provider in Salt Lake City, Utah. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Integrated Clinix, Home Clinix Utah Llc, Integrated Clinix, Integrated Clinix, Integrated Clinix and his current practice location is 1952 E 7000 S, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 942-3311.

Spencer Clark is licensed to practice in * (Not Available) (license number ) 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 1245576487.

Contact Information

	Spencer Clark,
	1952 E 7000 S, Salt Lake City, UT 84121-6877
	(801) 942-3311
	(801) 495-5303

Map and Direction

Healthcare Provider's Profile

Full Name	Spencer Clark
Gender	Male
Speciality	Physical Therapy
Experience	12 Years
Location	1952 E 7000 S, Salt Lake City, Utah
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:

Spencer Clark graduated from medical school in 2012

NPI Data:

NPI Number: 1245576487
Provider Enumeration Date: 12/17/2012
Last Update Date: 12/17/2012

Medicare PECOS Information:

PECOS PAC ID: 6002175460
Enrollment ID: I20180111000981

Medical Identifiers

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

Identifier	Type	State	Issuer
1245576487	NPI	-	NPPES

Medical Taxonomies and Licenses

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

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Integrated Clinix	0941636872	4
Home Clinix Utah Llc	7810376977	6
Integrated Clinix	0941636872	4
Integrated Clinix	0941636872	4
Integrated Clinix	0941636872	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. Spencer Clark allows following entities to bill medicare on his behalf.

Provider Name	Integrated Clinix
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659931384 PECOS PAC ID: 0941636872 Enrollment ID: O20200212001248

Provider Name	Home Clinix Utah Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891455895 PECOS PAC ID: 7810376977 Enrollment ID: O20220620001418

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. Spencer 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
Spencer Clark, Po Box 711185, Salt Lake City, UT 84171-1185 Ph: (801) 942-3311	Spencer Clark, 1952 E 7000 S, Salt Lake City, UT 84121-6877 Ph: (801) 942-3311

Reviews and Comments

Physical Therapist in Salt Lake City, UT

Dr. Craig M Crookston, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Mario Capecchi Dr, Ste 4400, Salt Lake City, UT 84112 Phone: 801-662-4951 Fax: 801-662-4931
Joel Dela Cruz Timbol, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955
Eon Jarvis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303
Keegan Marie Granger, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-4980
Elizabeth Neilson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 660 S 200 E Ste 250, Salt Lake City, UT 84111 Phone: 801-359-2256
Eric Glad, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1515 S 1100 E, Salt Lake City, UT 84105 Phone: 801-583-5692
Samantha Dawson Tandy, Dpt, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 352 S Denver St Ste 310, Salt Lake City, UT 84111 Phone: 574-453-8548

Spencer Clark, - Medicare Physical Therapist in Salt Lake City, UT