Dr Brent A Clark, DPM in St George, UT - Medicare Podiatry Provider

Dr Brent A Clark, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in St George, Utah. He went to California School Of Podiatric Medicine and graduated in 1999 and has 27 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Kane County Human Resource Special Service District, Coral Desert Foot And Ankle Pc, Coral Desert Foot And Ankle Pc and his current practice location is 1062 E Riverside Dr Ste 102, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (509) 301-1565.

Dr Brent A Clark is licensed to practice in Utah (license number 135349530501) 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 1407820418.

Contact Information

	Dr Brent A Clark, DPM
	1062 E Riverside Dr Ste 102, St George, UT 84790-4454
	(509) 301-1565
	(509) 414-6455

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brent A Clark
Gender	Male
Speciality	Podiatry
Experience	27 Years
Location	1062 E Riverside Dr Ste 102, St George, 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:

Dr Brent A Clark attended and graduated from California School Of Podiatric Medicine in 1999

NPI Data:

NPI Number: 1407820418
Provider Enumeration Date: 02/15/2006
Last Update Date: 12/12/2024

Medicare PECOS Information:

PECOS PAC ID: 5890757363
Enrollment ID: I20231025003869

Medical Identifiers

Medical identifiers for Dr Brent A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407820418	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	PO00000693 (Washington)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	135349530501 (Utah)	Primary
213E00000X	Podiatrist	PO00000693 (Washington)	Secondary
213ES0103X	Podiatrist - Foot & Ankle Surgery	02101 (Nevada)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kane County Hospital	Kanab, UT	Hospital
Mesa View Regional Hospital	Mesquite, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kane County Human Resource Special Service District	5092603316	29
Coral Desert Foot And Ankle Pc	5597858621	2
Coral Desert Foot And Ankle Pc	5597858621	2

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 Brent A Clark allows following entities to bill medicare on his behalf.

Provider Name	Kane County Human Resource Special Service District
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1043380991 PECOS PAC ID: 5092603316 Enrollment ID: O20040309000209

Provider Name	Coral Desert Foot & Ankle Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548450901 PECOS PAC ID: 5597858621 Enrollment ID: O20070906000308

Provider Name	Kane County Human Resource Special Service District
Provider Type	Part A Provider - Critical Access Hospital
Provider Identifiers	NPI Number: 1215001037 PECOS PAC ID: 5092603316 Enrollment ID: O20090727000130

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 Brent A 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 Brent A Clark, DPM 2918 W Lesina Heights Dr, St George, UT 84770-1474 Ph: (509) 301-1565	Dr Brent A Clark, DPM 1062 E Riverside Dr Ste 102, St George, UT 84790-4454 Ph: (509) 301-1565

Reviews and Comments

Podiatrist in St George, UT

D Alden Yates Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 736 S 900 E, Ste 101, St George, UT 84790 Phone: 435-674-7444
Lary J Smith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 754 South Main, Suite 3, St George, UT 84770 Phone: 435-628-2671 Fax: 435-634-1601
Shirl Curtis Cowley, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 754 South Main, Suite 3, St George, UT 84770 Phone: 435-628-2671 Fax: 435-634-1601
The Foot & Ankle Institute Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 754 South Main, Ste 3, St George, UT 84770 Phone: 435-628-2671 Fax: 435-634-1601
Dr. Jeffrey Lee Stewart, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1062 E Riverside Dr Ste 102, St George, UT 84790 Phone: 435-634-9225 Fax: 435-634-8426
Ryan Thomas Peterson, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2019 E Riverside Dr Ste A101, St George, UT 84790 Phone: 801-253-6888 Fax: 385-900-5928
Scrodco Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 676 S Bluff St Ste 205, St George, UT 84770 Phone: 435-628-5690 Fax: 435-628-5805

Dr Brent A Clark, DPM - Medicare Podiatrist in St George, UT