Amanda Lou Clark, MD - Medicare Obstetrics & Gynecology in Portland, OR

Amanda Lou Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Portland, Oregon. Her current practice location is 5050 Ne Hoyt St Ste 255, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 231-0407.

Amanda Lou Clark is licensed to practice in Oregon (license number MD13163) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689682205.

Contact Information

Amanda Lou Clark, MD
5050 Ne Hoyt St Ste 255,
Portland, OR 97213-2982
(503) 231-0407
Not Available



Physician's Profile

Full NameAmanda Lou Clark
GenderFemale
SpecialityObstetrics & Gynecology
Location5050 Ne Hoyt St Ste 255, Portland, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689682205
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 02/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567555188
  • Enrollment ID: I20070912000339

Medical Identifiers

Medical identifiers for Amanda Lou Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689682205NPI-NPPES
114991MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD13163 (Oregon)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. Amanda Lou Clark allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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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. Amanda Lou 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
Amanda Lou Clark, MD
5050 Ne Hoyt St Ste 255,
Portland, OR 97213-2982

Ph: (503) 231-0407
Amanda Lou Clark, MD
5050 Ne Hoyt St Ste 255,
Portland, OR 97213-2982

Ph: (503) 231-0407

News Archive

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Scientists and physicians at Moores Cancer Center at UC San Diego Health, in partnership with colleagues at MD Anderson Cancer Center in Texas, Johns Hopkins University in Maryland and elsewhere, have been awarded a $7 million grant over four years by Stand Up to Cancer to create a "dream team" to develop new ways to prevent pancreatic cancer - one of the nation's deadliest malignancies.

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Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216
Phone: 503-261-4423    Fax: 503-261-4424
John Gilbert Buckmaster, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4200    
Darlene J Dodson, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225
Phone: 503-216-3388    
Antonio E Frias, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-4200    Fax: 503-494-4473
Sig-linda Jacobson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5006 Sw Martha St, Portland, OR 97221
Phone: 503-806-7854    
Laila Raad Sillay, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225
Phone: 503-445-0590    
Edward Paul Kirk, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4500    

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