Dr Russell Clark, AUD - Medicare Audiologist in Eagle, ID

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Dr Russell Clark, AUD is a medicare enrolled "Audiologist" provider in Eagle, Idaho. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 3101 E State St Ste 2108, Eagle, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 385-3480.

Dr Russell Clark is licensed to practice in Idaho (license number AUD-1526) 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 1538692249.

Contact Information

Dr Russell Clark, AUD
3101 E State St Ste 2108,
Eagle, ID 83616-6232
(208) 385-3480
(208) 385-3481

Map and Direction




Healthcare Provider's Profile

Full NameDr Russell Clark
GenderMale
SpecialityQualified Audiologist
Experience13 Years
Location3101 E State St Ste 2108, Eagle, 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 Russell Clark graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1538692249
  • Provider Enumeration Date: 04/10/2017
  • Last Update Date: 03/01/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8729345384
  • Enrollment ID: I20171206003086

Medical Identifiers

Medical identifiers for Dr Russell Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538692249NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AUD-1526 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402991

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 Russell 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

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 Russell 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 Russell Clark, AUD
3101 E State St Ste 2108,
Eagle, ID 83616-6232

Ph: (208) 385-3480		Dr Russell Clark, AUD
3101 E State St Ste 2108,
Eagle, ID 83616-6232

Ph: (208) 385-3480

Reviews and Comments


Audiologist in Eagle, ID

Stormy M Kleffner, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 440 E State St Ste 100, Eagle, ID 83616
Phone: 208-939-9359    
Tara Michele Schmidt, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 440 E State St Ste 100, Eagle, ID 83616
Phone: 208-939-9359    
Dr. David Eric Morledge, PHD
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 1020 N Beachwood Ct, Eagle, ID 83616
Phone: 208-562-1826    
Jessica Ann Clark, AU.D.
Audiologist
Medicare: Accepting Medicare Assignments
Practice Location: 3101 E State St, Suite 2108, Eagle, ID 83616
Phone: 208-489-4975    Fax: 208-489-4089
Eagle Hearing Llc
Audiologist
Medicare: Medicare Enrolled
Practice Location: 440 E State St Ste 100, Eagle, ID 83616
Phone: 319-610-8111    
Ms. Catie Ardean Conrad,
Audiologist
Medicare: Not Enrolled in Medicare
Practice Location: 440 E State St Ste 100, Eagle, ID 83616
Phone: 208-939-9359    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.