Clark A Davis, MD in La Crosse, WI - Medicare Vascular Surgery

Clark A Davis, MD is a medicare enrolled "Surgery" physician in La Crosse, Wisconsin. He went to University Of Washington School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Gundersen Lutheran Medical Center Inc, Gundersen Clinic Ltd and his current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Clark A Davis is licensed to practice in Wisconsin (license number 36912) 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 1316942121.

Contact Information

	Clark A Davis, MD
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Clark A Davis
Gender	Male
Speciality	Vascular Surgery
Experience	30 Years
Location	1836 South Ave, La Crosse, Wisconsin
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:

Clark A Davis attended and graduated from University Of Washington School Of Medicine in 1994

NPI Data:

NPI Number: 1316942121
Provider Enumeration Date: 06/17/2005
Last Update Date: 03/14/2023

Medicare PECOS Information:

PECOS PAC ID: 9133244650
Enrollment ID: I20100921000215

Medical Identifiers

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

Identifier	Type	State	Issuer
1316942121	NPI	-	NPPES
34344900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	36912 (Wisconsin)	Secondary
208600000X	Surgery	36912 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gundersen Lutheran Medical Center	La crosse, WI	Hospital
Gundersen St Josephs Hospital And Clinics	Hillsboro, WI	Hospital
Crossing Rivers Health Medical Center	Prairie du chien, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gundersen Lutheran Medical Center Inc	2163331414	789
Gundersen Clinic Ltd	9638082779	325

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. Clark A Davis allows following entities to bill medicare on his behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

Entity Name	St Joseph's Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104031798 PECOS PAC ID: 3971586439 Enrollment ID: O20040615000273

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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. Clark A Davis 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
Clark A Davis, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Clark A Davis, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Surgery Doctors in La Crosse, WI

Benjamin T Jarman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-775-2331
Jamie Lynn Knuth Prather, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Jeffrey Landercasper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Jared Richard Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Stephen B Shapiro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
William C Boyd, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467
Arik C. Brye, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 Fax: 608-392-7197

Clark A Davis, MD - Medicare Vascular Surgery in La Crosse, WI