Charles Clark Iii, MD - Medicare Orthopedic Surgery in Nampa, ID

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Charles Clark Iii, MD is a medicare enrolled "Orthopaedic Surgery" physician in Nampa, Idaho. He went to University Of Florida College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 9850 W St Lukes Dr, Nampa, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 706-2663.

Charles Clark Iii is licensed to practice in Idaho (license number M-15579) 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 1114346434.

Contact Information

Charles Clark Iii, MD
9850 W St Lukes Dr,
Nampa, ID 83687-7912
(208) 706-2663
(208) 489-4300

Map and Direction




Physician's Profile

Full NameCharles Clark Iii
GenderMale
SpecialityOrthopedic Surgery
Experience10 Years
Location9850 W St Lukes Dr, Nampa, 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:
  • Charles Clark Iii attended and graduated from University Of Florida College Of Medicine in 2014
  NPI Data:
  • NPI Number: 1114346434
  • Provider Enumeration Date: 04/15/2014
  • Last Update Date: 01/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264769769
  • Enrollment ID: I20210309001862

Medical Identifiers

Medical identifiers for Charles Clark Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114346434NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery M-15579 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Nampa Medical CenterNampa, IDHospital
St Luke's Regional Medical CenterBoise, IDHospital

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. Charles Clark Iii allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity 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. Charles Clark Iii 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
Charles Clark Iii, MD
2718 W Jetton Ave,
Tampa, FL 33629-5327

Ph: (813) 784-0002		Charles Clark Iii, MD
9850 W St Lukes Dr,
Nampa, ID 83687-7912

Ph: (208) 706-2663

Reviews and Comments


Orthopaedic Surgery Doctors in Nampa, ID

Shane A Andrew, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687
Phone: 208-288-4700    Fax: 208-288-4720
Keith G Holley, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687
Phone: 208-288-4700    Fax: 208-288-4720
Tildon C Robinson Iv, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687
Phone: 208-288-4700    Fax: 208-288-4720
Aaron Franklin Newton, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4400 E Flamingo Ave Ste 200, Nampa, ID 83687
Phone: 208-302-2700    Fax: 208-302-2725
Jared T Armstrong, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 9850 St Lukes Dr, Nampa, ID 83687
Phone: 208-706-2663    
Dr. Miers C Johnson, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4424 E Flamingo Ave, Suite 110, Nampa, ID 83687
Phone: 208-288-4700    Fax: 208-288-4720

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.