Brandon Clark, DO - Medicare Orthopedic Surgery in Flagstaff, AZ

Brandon Clark, DO is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Trauma" physician in Flagstaff, Arizona. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Northern Arizona Healthcare Corporation and his current practice location is 107 E Oak Ave, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 779-7880.

Brandon Clark is licensed to practice in Arizona (license number 6862) 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 1174844138.

Contact Information

Brandon Clark, DO
107 E Oak Ave,
Flagstaff, AZ 86001
(928) 779-7880
Not Available



Physician's Profile

Full NameBrandon Clark
GenderMale
SpecialityOrthopedic Surgery
Experience14 Years
Location107 E Oak Ave, Flagstaff, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandon Clark graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1174844138
  • Provider Enumeration Date: 06/14/2010
  • Last Update Date: 06/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7517186463
  • Enrollment ID: I20160510001004

Medical Identifiers

Medical identifiers for Brandon Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174844138NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0801XOrthopaedic Surgery - Orthopaedic Trauma 6862 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Flagstaff Medical CenterFlagstaff, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northern Arizona Healthcare Corporation3577473362370

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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. Brandon Clark allows following entities to bill medicare on his behalf.
Entity NameNorthern Arizona Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669914552
PECOS PAC ID: 3577473362
Enrollment ID: O20170801003409

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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. Brandon 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
Brandon Clark, DO
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 213-6235
Brandon Clark, DO
107 E Oak Ave,
Flagstaff, AZ 86001

Ph: (928) 779-7880

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Orthopaedic Surgery Doctors in Flagstaff, AZ

Dr. Stephen Joseph Ros, M.D., PH.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1485 N Turquoise Dr Ste 200, Flagstaff, AZ 86001
Phone: 928-226-2900    Fax: 928-226-3071
Zachary Scott Hinger, PA-C
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001
Phone: 928-779-7880    
Timothy John Bonatus, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1485 N Turquoise Dr, Ste 200, Flagstaff, AZ 86001
Phone: 928-774-7757    Fax: 928-226-3071
Dr. Stuart A. Davis, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1485 N Turquoise Dr, Flagstaff, AZ 86001
Phone: 928-774-7757    Fax: 928-226-3071
Amber Louise Randall, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1100 N San Francisco St Ste E, Flagstaff, AZ 86001
Phone: 928-777-9950    Fax: 928-777-9975
Todd Ludwig, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001
Phone: 419-356-3638    
John F Hall, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001
Phone: 928-773-2280    Fax: 928-773-2281

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