Derrel W Clarke, MD in Logan, UT - Pediatrics

Derrel W Clarke, MD is a Pediatrics physician based in Logan, Utah. Derrel W Clarke is licensed to practice in Utah (license number 1863221205) and his current practice location is 1350 N 500 E, Logan, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 792-1940.

NPI number for Derrel W Clarke is 1902812829 and his current mailing address is 1350 N 500 E, Logan, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902812829.

Contact Information

	Derrel W Clarke, MD
	1350 N 500 E, Logan, UT 84341-2400
	(435) 792-1940
	(435) 792-1692

Physician's Profile

Full Name	Derrel W Clarke
Gender	Male
Speciality	Pediatrics
Location	1350 N 500 E, Logan, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1902812829
Provider Enumeration Date: 07/31/2006
Last Update Date: 10/14/2008

Medical Identifiers

Medical identifiers for Derrel W Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902812829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	1863221205 (Utah)	Primary

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. Derrel W Clarke is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Derrel W Clarke, MD 1350 N 500 E, Logan, UT 84341-2400 Ph: (435) 792-1940	Derrel W Clarke, MD 1350 N 500 E, Logan, UT 84341-2400 Ph: (435) 792-1940

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Pediatrics Doctors in Logan, UT

Nordell T Brown, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1940
Russel T Mckenna, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1325 N 600 E Ste 101, Logan, UT 84341 Phone: 435-750-5599 Fax: 435-750-0861
Prafulla Martin-garg, MD, FAAP Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1940
Scott D Dickson, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1820 Fax: 435-716-1693
John Dennis Odell, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1940
Cason James Wortley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2245 N 400 E Ste 202, Logan, UT 84341 Phone: 435-753-7337
Daniel M Sandgren, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1940

Derrel W Clarke, MD - Pediatrics in Logan, UT