Dr Clinton H Clark, DPM - Medicare Podiatrist in Meridian, ID

Dr Clinton H Clark, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Meridian, Idaho. He went to Temple University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 520 S Eagle Rd, Ste 1243, Meridian, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 938-4670.

Dr Clinton H Clark is licensed to practice in Idaho (license number P191) 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 1710924345.

Contact Information

Dr Clinton H Clark, DPM
520 S Eagle Rd, Ste 1243,
Meridian, ID 83642-6351
(208) 938-4670
Not Available



Healthcare Provider's Profile

Full NameDr Clinton H Clark
GenderMale
SpecialityPodiatry
Experience37 Years
Location520 S Eagle Rd, Meridian, 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:
  • Dr Clinton H Clark attended and graduated from Temple University School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1710924345
  • Provider Enumeration Date: 06/01/2006
  • Last Update Date: 02/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 1759316672
  • Enrollment ID: I20071231000512

Medical Identifiers

Medical identifiers for Dr Clinton H Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710924345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery P191 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968

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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 Clinton H Clark allows following entities to bill medicare on his behalf.
Provider NameSt Lukes Clinic-treasure Valley Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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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 Clinton H 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 Clinton H Clark, DPM
190 E Bannock St,
Boise, ID 83712-6241

Ph: (208) 381-2222
Dr Clinton H Clark, DPM
520 S Eagle Rd, Ste 1243,
Meridian, ID 83642-6351

Ph: (208) 938-4670

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Podiatrist in Meridian, ID

Treasure Valley Foot And Ankle
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 3120 W Belltower Dr Ste 100, Meridian, ID 83646
Phone: 208-516-3617    Fax: 208-314-2029
Innovation Medical Group
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 745 S Progress Ave Ste 150, Meridian, ID 83642
Phone: 208-813-1958    Fax: 208-600-6905
Dr. Kurt Earl Kinghorn, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1540 W Cayuse Creek Dr, Meridian, ID 83646
Phone: 208-344-3324    Fax: 208-344-4349
Dr. Clark A Johnson, D.P.M.
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 3120 W Belltower Dr Ste 100, Meridian, ID 83646
Phone: 208-516-3617    Fax: 208-314-2029
Family Foot And Ankle Of Idaho L L C
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 3597 E Monarch Sky Lane, Suit 240 Pmb 2358, Meridian, ID 83646
Phone: 208-996-3519    Fax: 208-906-2195
Mike C. Laur, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 2667 E Gala Ct Ste 130, Meridian, ID 83642
Phone: 208-855-5955    Fax: 208-459-8628
Rocky Mountaint Foot & Ankle
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 2667 E Gala Ct Ste 130, Meridian, ID 83642
Phone: 208-795-5090    

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