| Mr Jan Dean Clark, DMD | |
|
300 No Willson, 602f, Bozeman, MT 59715 | |
| (406) 586-5318 | |
| (406) 586-1635 |
| Full Name | Mr Jan Dean Clark |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 39 Years |
| Location | 300 No Willson, Bozeman, Montana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497803803 | NPI | - | NPPES |
| 0390091 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 79 (Montana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bozeman Podiatric Clinic Inc | 6507947652 | 2 |
| Provider Name | Bozeman Podiatric Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144404401 PECOS PAC ID: 6507947652 Enrollment ID: O20080115000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jan Dean Clark, DMD 1125 W Kagy Blvd Ste 101, Bozeman, MT 59715-5879 Ph: (406) 586-5318 | Mr Jan Dean Clark, DMD 300 No Willson, 602f, Bozeman, MT 59715 Ph: (406) 586-5318 |
Bozeman Podiatric Clinic Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1125 W Kagy Blvd Ste 101, Bozeman, MT 59715 Phone: 406-586-5318 Fax: 406-586-1635 | |
Thomas Wright, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1125 W Kagy Blvd Ste 101, Bozeman, MT 59715 Phone: 406-586-5318 | |
Mr. Tod Russell Storm, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 Phone: 406-587-8478 Fax: 406-582-0730 | |
Dr. Casey Clarice Ebert, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 Phone: 406-587-8478 | |
Dr. William Mann Wilshire Iv, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 931 Highland Blvd, Suite 3310, Bozeman, MT 59715 Phone: 406-587-8478 Fax: 406-582-0730 |