Dr Timothy Paul Clark, DDS - Medicare Dentist in Becker, MN

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Dr Timothy Paul Clark, DDS is a medicare enrolled "Dentist - General Practice" provider in Becker, Minnesota. His current practice location is 12392 Pleasant Ave., Becker, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 261-5350.

Dr Timothy Paul Clark is licensed to practice in Minnesota (license number 10140) 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 1194800946.

Contact Information

Dr Timothy Paul Clark, DDS
12392 Pleasant Ave.,
Becker, MN 55308-0098
(763) 261-5350
(763) 262-5351

Map and Direction




Healthcare Provider's Profile

Full NameDr Timothy Paul Clark
GenderMale
SpecialityDentist - General Practice
Location12392 Pleasant Ave., Becker, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194800946
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0749599082
  • Enrollment ID: I20151027002080

Medical Identifiers

Medical identifiers for Dr Timothy Paul Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194800946NPI-NPPES
6B403CLOtherMNBCBS PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 10140 (Minnesota)Primary

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 Timothy Paul 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 Timothy Paul Clark, DDS
Po Box 98, 12392 Pleasant Ave.,
Becker, MN 55308-0098

Ph: (763) 261-5350		Dr Timothy Paul Clark, DDS
12392 Pleasant Ave.,
Becker, MN 55308-0098

Ph: (763) 261-5350

Reviews and Comments


Dentist in Becker, MN

Dr. Stephanie L Gruenes, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 13734 First Street, Becker, MN 55308
Phone: 763-262-7645    Fax: 763-262-2345

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.