Dr Holly Clark, MD - Medicare Gastroenterology in Salt Lake City, UT

Dr Holly Clark, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Salt Lake City, Utah. She went to University Of Arizona College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 1250 E 3900 S, Suite 360, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 263-3041.

Dr Holly Clark is licensed to practice in Utah (license number 4977163) 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 1376639047.

Contact Information

Dr Holly Clark, MD
1250 E 3900 S, Suite 360,
Salt Lake City, UT 84124-1348
(801) 263-3041
(801) 263-8485



Physician's Profile

Full NameDr Holly Clark
GenderFemale
SpecialityGastroenterology
Experience27 Years
Location1250 E 3900 S, Salt Lake City, Utah
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 Holly Clark attended and graduated from University Of Arizona College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1376639047
  • Provider Enumeration Date: 10/04/2006
  • Last Update Date: 06/09/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7214921170
  • Enrollment ID: I20040413000966

Medical Identifiers

Medical identifiers for Dr Holly Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376639047NPI-NPPES
49771631200001OtherUTBLUE CROSS BLUE SHIELD
49771631200001OtherUTHEALTHWISE
49771631200001OtherUTVALUE CARE
78498OtherUTPUBLIC EMPLOYEES
QM0000217387OtherUTALTIUS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 4977163 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park City HospitalPark city, UTHospital
Heber Valley HospitalHeber city, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203063

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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 Holly Clark allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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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 Holly 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 Holly Clark, MD
6360 S 3000 E, #220,
Salt Lake City, UT 84121-6923

Ph: (801) 263-3041
Dr Holly Clark, MD
1250 E 3900 S, Suite 360,
Salt Lake City, UT 84124-1348

Ph: (801) 263-3041

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Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132
Phone: 801-505-1689    
Dr. Willard Dere, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148
Phone: 801-582-1565    
Megan Meier, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-2121    
Joel Money, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132
Phone: 801-581-2121    
Mchale O. Anderson, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E Rm 4a100, Salt Lake City, UT 84132
Phone: 801-587-2451    
Siddharth K. Iyengar, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132
Phone: 801-581-7606    
Taryn A. Young, MD
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107
Phone: 801-507-4384    Fax: 801-507-4398

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