Dr Clinton H Clark, DPM in Meridian, ID - Medicare Podiatrist Provider

Dr Clinton H Clark, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Meridian, Idaho. His current practice location is 520 S Eagle Rd, Ste 1243, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 938-4670.

Dr Clinton H Clark is licensed to practice in Idaho (license number P191) 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 1710924345.

Contact Information

	Dr Clinton H Clark, DPM
	520 S Eagle Rd, Ste 1243, Meridian, ID 83642-6351
	(208) 938-4670
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Clinton H Clark
Gender	Male
Speciality	Podiatrist - Foot & Ankle Surgery
Location	520 S Eagle Rd, Meridian, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710924345
Provider Enumeration Date: 06/01/2006
Last Update Date: 02/21/2014

Medicare PECOS Information:

PECOS PAC ID: 1759316672
Enrollment ID: I20071231000512

Medical Identifiers

Medical identifiers for Dr Clinton H Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710924345	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	P191 (Idaho)	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 Clinton H Clark allows following entities to bill medicare on his behalf.

Provider Name	St Lukes Clinic-treasure Valley Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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 Clinton H 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 Clinton H Clark, DPM 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222	Dr Clinton H Clark, DPM 520 S Eagle Rd, Ste 1243, Meridian, ID 83642-6351 Ph: (208) 938-4670

Reviews and Comments

Podiatrist in Meridian, ID

Treasure Valley Foot And Ankle Podiatrist Medicare: Medicare Enrolled Practice Location: 3120 W Belltower Dr Ste 100, Meridian, ID 83646 Phone: 208-516-3617 Fax: 208-314-2029
Dr. Stewart Owen Jones, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2845 E Overland Rd Ste 150, Meridian, ID 83642 Phone: 208-404-2262 Fax: 208-268-8890
Taylor G Wright Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 745 S Progress Ave Ste 150, Meridian, ID 83642 Phone: 208-813-1958 Fax: 208-600-6905
Dr. Kurt Earl Kinghorn, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1540 W Cayuse Creek Dr, Meridian, ID 83646 Phone: 208-344-3324 Fax: 208-344-4349
Dr. Clark A Johnson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3120 W Belltower Dr Ste 100, Meridian, ID 83646 Phone: 208-516-3617 Fax: 208-314-2029
Family Foot And Ankle Of Idaho L L C Podiatrist Medicare: Medicare Enrolled Practice Location: 3597 E Monarch Sky Lane, Suit 240 Pmb 2358, Meridian, ID 83646 Phone: 208-996-3519 Fax: 208-906-2195
Mike C. Laur, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2667 E Gala Ct Ste 130, Meridian, ID 83642 Phone: 208-855-5955 Fax: 208-459-8628

Dr Clinton H Clark, DPM - Medicare Podiatrist in Meridian, ID