Dr Ryan Clark, MD - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in Duluth, MN

Dr Ryan Clark, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Duluth, Minnesota. His current practice location is 400 E 3rd St, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 786-8364.

Dr Ryan Clark is licensed to practice in Minnesota (license number 71069) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689061822.

Contact Information

Dr Ryan Clark, MD
400 E 3rd St,
Duluth, MN 55805-1951
(218) 786-8364
Not Available



Physician's Profile

Full NameDr Ryan Clark
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location400 E 3rd St, Duluth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689061822
  • Provider Enumeration Date: 04/24/2015
  • Last Update Date: 07/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254652068
  • Enrollment ID: I20220721002315

Medical Identifiers

Medical identifiers for Dr Ryan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689061822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 71069 (Minnesota)Primary

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 Ryan Clark allows following entities to bill medicare on his behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229

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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 Ryan 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 Ryan Clark, MD
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364
Dr Ryan Clark, MD
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Duluth, MN

Dr. Christopher F. Heck, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805
Phone: 218-786-3900    Fax: 218-722-1827
Frazier Eales, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    
Dr. David Allen Arzouman, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 400 East 3rd Street, Smdc Medical Center-duluth Clinic, Duluth, MN 55805
Phone: 218-786-3900    Fax: 715-552-8091

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