Brandon Clark, DO in Flagstaff, AZ - Medicare Orthopedic Surgery

Brandon Clark, DO is a medicare enrolled "Orthopaedic Surgery - Orthopaedic Trauma" physician in Flagstaff, Arizona. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Northern Arizona Healthcare Corporation and his current practice location is 107 E Oak Ave, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 779-7880.

Brandon Clark is licensed to practice in Arizona (license number 6862) 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 1174844138.

Contact Information

	Brandon Clark, DO
	107 E Oak Ave, Flagstaff, AZ 86001
	(928) 779-7880
	Not Available

Map and Direction

Physician's Profile

Full Name	Brandon Clark
Gender	Male
Speciality	Orthopedic Surgery
Experience	14 Years
Location	107 E Oak Ave, Flagstaff, Arizona
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:

Brandon Clark graduated from medical school in 2010

NPI Data:

NPI Number: 1174844138
Provider Enumeration Date: 06/14/2010
Last Update Date: 06/17/2019

Medicare PECOS Information:

PECOS PAC ID: 7517186463
Enrollment ID: I20160510001004

Medical Identifiers

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

Identifier	Type	State	Issuer
1174844138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207XX0801X	Orthopaedic Surgery - Orthopaedic Trauma	6862 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Flagstaff Medical Center	Flagstaff, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northern Arizona Healthcare Corporation	3577473362	352

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. Brandon Clark allows following entities to bill medicare on his behalf.

Entity Name	Northern Arizona Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669914552 PECOS PAC ID: 3577473362 Enrollment ID: O20170801003409

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. Brandon 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
Brandon Clark, DO 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 213-6235	Brandon Clark, DO 107 E Oak Ave, Flagstaff, AZ 86001 Ph: (928) 779-7880

Reviews and Comments

Orthopaedic Surgery Doctors in Flagstaff, AZ

Dr. Stephen Joseph Ros, M.D., PH.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1485 N Turquoise Dr Ste 200, Flagstaff, AZ 86001 Phone: 928-226-2900 Fax: 928-226-3071
Zachary Scott Hinger, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Flagstaff, AZ 86001 Phone: 928-779-7880
Timothy John Bonatus, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1485 N Turquoise Dr, Ste 200, Flagstaff, AZ 86001 Phone: 928-774-7757 Fax: 928-226-3071
Dr. Stuart A. Davis, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1485 N Turquoise Dr, Flagstaff, AZ 86001 Phone: 928-774-7757 Fax: 928-226-3071
Amber Louise Randall, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 N San Francisco St Ste E, Flagstaff, AZ 86001 Phone: 928-777-9950 Fax: 928-777-9975
Todd Ludwig, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 419-356-3638
John F Hall, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 525 N Switzer Canyon Dr, Flagstaff, AZ 86001 Phone: 928-773-2280 Fax: 928-773-2281

Brandon Clark, DO - Medicare Orthopedic Surgery in Flagstaff, AZ