Clark Harrison Butler, DO - Medicare Family Practice in Jefferson City, MO

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Clark Harrison Butler, DO is a medicare enrolled "Family Medicine" physician in Jefferson City, Missouri. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2018 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Moberly Hospital Company Llc and his current practice location is 1125 Madison St, Jefferson City, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 632-5000.

Clark Harrison Butler is licensed to practice in Missouri (license number 2018024674) 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 1841776630.

Contact Information

Clark Harrison Butler, DO
1125 Madison St,
Jefferson City, MO 65101-5227
(573) 632-5000
Not Available

Map and Direction




Physician's Profile

Full NameClark Harrison Butler
GenderMale
SpecialityFamily Practice
Experience7 Years
Location1125 Madison St, Jefferson City, Missouri
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:
  • Clark Harrison Butler attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2018
  NPI Data:
  • NPI Number: 1841776630
  • Provider Enumeration Date: 07/14/2018
  • Last Update Date: 08/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0547509283
  • Enrollment ID: I20210615001680

Medical Identifiers

Medical identifiers for Clark Harrison Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841776630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2018024674 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Homecare Of Mid MissouriMoberly, MOHome health agency
Elara CaringJefferson city, MOHome health agency
Hospice Compassus-north Central MissouriColumbia, MOHospice
Moberly Regional Medical CenterMoberly, MOHospital
Boone Hospital CenterColumbia, MOHospital
Macon County Samaritan Memorial HospitalMacon, MOHospital
University Of Missouri Health CareColumbia, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Moberly Hospital Company Llc94360522308

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 Harrison Butler allows following entities to bill medicare on his behalf.
Entity NameMoberly Hospital Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205967486
PECOS PAC ID: 9436052230
Enrollment ID: O20070517000099

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 Harrison Butler 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
Clark Harrison Butler, DO
1501 Union Ave,
Moberly, MO 65270-9469

Ph: (660) 263-4770		Clark Harrison Butler, DO
1125 Madison St,
Jefferson City, MO 65101-5227

Ph: (573) 632-5000

Reviews and Comments


Family Medicine Doctors in Jefferson City, MO

Todd D Mccluskey, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3308 W Edgewood Dr, Suite B, Jefferson City, MO 65109
Phone: 573-893-7848    Fax: 573-893-1984
Craig Alan Luetkemeyer, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1014 Madison St, Jefferson City, MO 65101
Phone: 573-644-6999    Fax: 573-644-7880
Dr. Michael G. Steenbergen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109
Phone: 573-635-5264    Fax: 573-634-7423
Dr. James J. Weiss, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1241 W Stadium Blvd, Jefferson City, MO 65109
Phone: 573-635-5264    Fax: 573-634-7423
Lorrie L Campbell, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1014 Madison St, Jefferson City, MO 65101
Phone: 573-644-6999    Fax: 573-644-7880
Dr. Douglas N. Smith, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3308 W Edgewood Dr, Suite B, Jefferson City, MO 65109
Phone: 573-893-7848    Fax: 573-893-1984
Michael Peter Dudenhoeffer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 606 E High St, Jefferson City, MO 65101
Phone: 573-635-2211    Fax: 573-636-9350

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.