Jerry S Clark, DC in Provo, UT - Medicare Chiropractic Provider

Jerry S Clark, DC is a medicare enrolled "Chiropractor" provider in Provo, Utah. He went to Western States College Of Chiropractic and graduated in 1980 and has 44 years of diverse experience with area of expertise as Chiropractic. His current practice location is 3325 N University Ave Ste 125, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 374-2774.

Jerry S Clark is licensed to practice in Utah (license number 166844-1202) 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 1114082872.

Contact Information

	Jerry S Clark, DC
	3325 N University Ave Ste 125, Provo, UT 84604-6615
	(801) 374-2774
	(801) 374-2775

Map and Direction

Healthcare Provider's Profile

Full Name	Jerry S Clark
Gender	Male
Speciality	Chiropractic
Experience	44 Years
Location	3325 N University Ave Ste 125, Provo, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jerry S Clark attended and graduated from Western States College Of Chiropractic in 1980

NPI Data:

NPI Number: 1114082872
Provider Enumeration Date: 12/23/2006
Last Update Date: 11/01/2016

Medicare PECOS Information:

PECOS PAC ID: 7113186586
Enrollment ID: I20120306000098

Medical Identifiers

Medical identifiers for Jerry S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114082872	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	166844-1202 (Utah)	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. Jerry S Clark allows following entities to bill medicare on his behalf.

Provider Name	Alpine Spinal Rehabilitation Ctr
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578731949 PECOS PAC ID: 2668404641 Enrollment ID: O20050910000181

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. Jerry S 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 Address	Practice Location Address
Jerry S Clark, DC 3325 N University Ave Ste 125, Provo, UT 84604-6615 Ph: (801) 374-2774	Jerry S Clark, DC 3325 N University Ave Ste 125, Provo, UT 84604-6615 Ph: (801) 374-2774

Reviews and Comments

Chiropractor in Provo, UT

Provo Sports And Family Chiropractic, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 777 N 500 W Ste 205, Provo, UT 84601 Phone: 801-375-2420 Fax: 801-374-8588
Dr. Jeremiah Isaac Hernandez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2230 N. University Pkwy, Bldg 5, Ste A, Provo, UT 84604 Phone: 801-210-0669
Dr. Gordon Mcclean, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 385 N 500 W, Provo, UT 84601 Phone: 801-373-1035
Joshua James Redd, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2230 N University Pkwy, 6b, Provo, UT 84604 Phone: 801-235-9944
Nucca Spinal Centers Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 696 N 1890 W, Suite 43-a, Provo, UT 84601 Phone: 801-655-1801 Fax: 801-655-1803
Performance Sport & Spine Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2230 N University Pkwy Ste 6b, Provo, UT 84604 Phone: 801-235-9944

Jerry S Clark, DC - Medicare Chiropractor in Provo, UT