Alexander Paul Clark, DO in Salt Lake City, UT

Alexander Paul Clark, DO is a medicare enrolled "Family Medicine" physician in Salt Lake City, Utah. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Foothill Clinic, Llc and his current practice location is 2295 Foothill Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 486-3021.

Alexander Paul Clark is licensed to practice in Utah (license number 6522644-1204) 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 1578772109.

Contact Information

	Alexander Paul Clark, DO
	2295 Foothill Dr, Salt Lake City, UT 84109-4000
	(801) 486-3021
	(801) 485-6339

Map and Direction

Physician's Profile

Full Name	Alexander Paul Clark
Gender	Male
Speciality	Family Practice
Experience	21 Years
Location	2295 Foothill Dr, Salt Lake City, 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:

Alexander Paul Clark attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2003

NPI Data:

NPI Number: 1578772109
Provider Enumeration Date: 05/21/2007
Last Update Date: 04/25/2012

Medicare PECOS Information:

PECOS PAC ID: 0446344493
Enrollment ID: I20070920000737

Medical Identifiers

Medical identifiers for Alexander Paul Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578772109	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	6522644-1204 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Horizon Home Health - Salt Lake	Salt lake city, UT	Home health agency
Intermountain Medical Center	Murray, UT	Hospital
St Mark's Hospital	Salt lake city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foothill Clinic, Llc	9931003795	40

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. Alexander Paul Clark allows following entities to bill medicare on his behalf.

Entity Name	Foothill Clinic, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407947005 PECOS PAC ID: 9931003795 Enrollment ID: O20031122000151

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. Alexander 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 Address	Practice Location Address
Alexander Paul Clark, DO 2295 Foothill Dr, Salt Lake City, UT 84109-4000 Ph: (801) 486-3021	Alexander Paul Clark, DO 2295 Foothill Dr, Salt Lake City, UT 84109-4000 Ph: (801) 486-3021

Reviews and Comments

Family Medicine Doctors in Salt Lake City, UT

Dr. Roy Lewis James, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 675 E 2100 S, Suite 390, Salt Lake City, UT 84106 Phone: 800-366-1884 Fax: 801-487-8197
Cynthia M Mathewson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1525 W 2100 S, Salt Lake City, UT 84119 Phone: 801-887-2400
Peter Thompson Weir, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 555 Foothill Dr, Salt Lake City, UT 84112 Phone: 801-585-5382
Lisa J Hill, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6556 S Big Cottonwood Canyon Rd Ste 500a, Salt Lake City, UT 84121 Phone: 385-246-1117 Fax: 385-246-1117
Amy Noel De La Garza, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 807 E South Temple Ste 101, Salt Lake City, UT 84102 Phone: 801-369-8989 Fax: 801-704-9741
Dr. Laura M. Yeater, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 375 S Chipeta Way Ste A, Salt Lake City, UT 84108 Phone: 801-587-3411 Fax: 801-581-2771
Ms. Shannon B. Mckim, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 375 S Chipeta Way Rm 201, Salt Lake City, UT 84108 Phone: 801-581-2121

Alexander Paul Clark, DO - Medicare Family Practice in Salt Lake City, UT