Clark R Daines, MD - Medicare Pathology in Idaho Falls, ID

Clark R Daines, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Idaho Falls, Idaho. He went to University Of Washington School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Pathology Associates Of Idaho Falls P A and his current practice location is 3100 Channing Way, Idaho Falls, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 529-6050.

Clark R Daines is licensed to practice in Idaho (license number M11914) 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 1144264045.

Contact Information

Clark R Daines, MD
3100 Channing Way,
Idaho Falls, ID 83404-7533
(208) 529-6050
(208) 529-7085



Physician's Profile

Full NameClark R Daines
GenderMale
SpecialityPathology
Experience30 Years
Location3100 Channing Way, Idaho Falls, Idaho
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:
  • Clark R Daines attended and graduated from University Of Washington School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1144264045
  • Provider Enumeration Date: 06/15/2006
  • Last Update Date: 06/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2860393295
  • Enrollment ID: I20130613000635

Medical Identifiers

Medical identifiers for Clark R Daines such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144264045NPI-NPPES
M11914OtherIDSTATE LICENSE
79892OtherIDBLUE CROSS IDAHO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology M11914 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eastern Idaho Regional Medical CenterIdaho falls, IDHospital
Idaho Falls Community Hospital, LlcIdaho falls, IDHospital
Mountain View HospitalIdaho falls, IDHospital
Steele Memorial Medical CenterSalmon, IDHospital
Bear Lake Memorial HospitalMontpelier, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pathology Associates Of Idaho Falls P A85271577006

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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. Clark R Daines allows following entities to bill medicare on his behalf.
Entity NamePathology Associates Of Idaho Falls P A
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497723241
PECOS PAC ID: 8527157700
Enrollment ID: O20071211000664

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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. Clark R Daines 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
Clark R Daines, MD
1820 E 17th St, Ste 230,
Idaho Falls, ID 83404-6469

Ph: (208) 529-9779
Clark R Daines, MD
3100 Channing Way,
Idaho Falls, ID 83404-7533

Ph: (208) 529-6050

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Pathology Doctors in Idaho Falls, ID

Gary Earl Ellwein, MD
Pathology
Medicare: Medicare Enrolled
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6050    Fax: 208-529-7085
Matt Tannenbaum, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6050    Fax: 208-529-7085
Floyd Joseph Fantelli, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6050    Fax: 208-529-7085
Dr. Gabriele Emma Teermann, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Channing Way, Idaho Falls, ID 83404
Phone: 208-529-6048    Fax: 208-529-7085

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