Dr Dallas Elise Clark, MD - Medicare Family Practice in Red Lodge, MT

Dr Dallas Elise Clark, MD is a medicare enrolled "Family Medicine" physician in Red Lodge, Montana. She went to University Of Washington School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Memorial Hospital Association and her current practice location is 2525 N Broadway Ave, Red Lodge, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 446-2345.

Dr Dallas Elise Clark is licensed to practice in Montana (license number MED-PHYS-LIC-77353) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669822664.

Contact Information

Dr Dallas Elise Clark, MD
2525 N Broadway Ave,
Red Lodge, MT 59068
(406) 446-2345
Not Available



Physician's Profile

Full NameDr Dallas Elise Clark
GenderFemale
SpecialityFamily Practice
Experience8 Years
Location2525 N Broadway Ave, Red Lodge, Montana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dallas Elise Clark attended and graduated from University Of Washington School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1669822664
  • Provider Enumeration Date: 06/21/2016
  • Last Update Date: 09/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6103158142
  • Enrollment ID: I20191024001931

Medical Identifiers

Medical identifiers for Dr Dallas Elise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669822664NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MED-PHYS-LIC-77353 (Montana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beartooth Billings Clinic Home CareRed lodge, MTHome health agency
Beartooth Billings ClinicRed lodge, MTHospital
Billings ClinicBillings, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Hospital Association195137584914

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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. Dr Dallas Elise Clark allows following entities to bill medicare on her behalf.
Entity NameMemorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184785099
PECOS PAC ID: 1951375849
Enrollment ID: O20040825001090

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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. Dr Dallas Elise 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
Dr Dallas Elise Clark, MD
2525 N Broadway Ave,
Red Lodge, MT 59068-9222

Ph: (406) 446-2345
Dr Dallas Elise Clark, MD
2525 N Broadway Ave,
Red Lodge, MT 59068

Ph: (406) 446-2345

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Family Medicine Doctors in Red Lodge, MT

William George, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 South Oakes, Red Lodge, MT 59068
Phone: 406-446-2412    
Dr. Gregory David Burfeind, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2525 N Broadway Ave, Red Lodge, MT 59068
Phone: 406-446-2345    
Thomas Bradley Fouts, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 Robinson Ln, Red Lodge, MT 59068
Phone: 406-446-3800    Fax: 406-446-3802
Deirdre K Mcnamer, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 Robinson Ln, Red Lodge, MT 59068
Phone: 406-446-3800    Fax: 406-446-3802
William B. Oley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10 S Oakes, Red Lodge, MT 59068
Phone: 406-446-2412    

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