Douglas P Clark, MD in Colorado Springs, CO - Medicare Obstetrics & Gynecology

Douglas P Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Colorado Springs, Colorado. His current practice location is 6140 Tutt Blvd, Suite 200, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 380-6800.

Douglas P Clark is licensed to practice in Colorado (license number 025050) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396797965.

Contact Information

	Douglas P Clark, MD
	6140 Tutt Blvd, Suite 200, Colorado Springs, CO 80922-3575
	(719) 380-6800
	(719) 380-6815

Map and Direction

Physician's Profile

Full Name	Douglas P Clark
Gender	Male
Speciality	Obstetrics & Gynecology
Location	6140 Tutt Blvd, Colorado Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396797965
Provider Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8729009527
Enrollment ID: I20051208000192

Medical Identifiers

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

Identifier	Type	State	Issuer
1396797965	NPI	-	NPPES
01250505	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	25050 (Colorado)	Primary
207V00000X	Obstetrics & Gynecology	025050 (Colorado)	Primary

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. Douglas P Clark allows following entities to bill medicare on his behalf.

Entity Name	Mountain View Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528510302 PECOS PAC ID: 0345521381 Enrollment ID: O20170105000266

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. Douglas P 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
Douglas P Clark, MD 6140 Tutt Blvd, Suite 200, Colorado Springs, CO 80922-3575 Ph: (719) 380-6800	Douglas P Clark, MD 6140 Tutt Blvd, Suite 200, Colorado Springs, CO 80922-3575 Ph: (719) 380-6800

Reviews and Comments

Obstetrics & Gynecology Doctors in Colorado Springs, CO

Sarah Lewing, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6001 E Woodmen Rd, Colorado Springs, CO 80923 Phone: 719-776-5000 Fax: 719-776-2580
Dr. Kevin Paul Weary, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6071 E Woodmen Rd, Suite 405, Colorado Springs, CO 80923 Phone: 719-442-0808
Janyne Edith Althaus, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6071 E Woodmen Rd Ste 440, Colorado Springs, CO 80923 Phone: 719-571-4590 Fax: 719-571-4591
Michelle A Ridnour, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 175 S Union Blvd, Ste 220, Colorado Springs, CO 80910 Phone: 719-634-1532 Fax: 719-634-1715
Dr. Meredith S. Cassidy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6071 E Woodmen Rd, Suite 405, Colorado Springs, CO 80923 Phone: 719-442-0808
Alicia Vandersluis, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6705 Rangewood Dr, Colorado Springs, CO 80918 Phone: 719-599-7331 Fax: 719-390-1333
Carina Jeaan Kee, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2405 Research Pkwy, Colorado Springs, CO 80920 Phone: 719-260-7050

Douglas P Clark, MD - Medicare Obstetrics & Gynecology in Colorado Springs, CO