Dr Brian D Clark, MD, PHD in Portland, OR

Dr Brian D Clark, MD, PHD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Portland, Oregon. His current practice location is 9205 Sw Barnes Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 797-6356.

Dr Brian D Clark is licensed to practice in Oregon (license number MD178701) 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 1275977571.

Contact Information

	Dr Brian D Clark, MD, PHD
	9205 Sw Barnes Rd, Portland, OR 97225-6603
	(503) 797-6356
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Brian D Clark
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	9205 Sw Barnes Rd, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275977571
Provider Enumeration Date: 04/17/2013
Last Update Date: 06/05/2019

Medicare PECOS Information:

PECOS PAC ID: 7810290574
Enrollment ID: I20190801001714

Medical Identifiers

Medical identifiers for Dr Brian D Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275977571	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	MD178701 (Oregon)	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. Dr Brian D Clark allows following entities to bill medicare on his behalf.

Entity Name	Bridgeport Medical Imaging, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922253525 PECOS PAC ID: 3173670411 Enrollment ID: O20090402000485

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. Dr Brian D 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
Dr Brian D Clark, MD, PHD 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: () -	Dr Brian D Clark, MD, PHD 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: (503) 797-6356

Reviews and Comments

Radiology Doctors in Portland, OR

Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982
Deborah Janet Cohen, MD Radiology Medicare: Medicare Enrolled Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Steven Lloyd Primack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Dr. James S Putnam, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990
Darshan Acharya, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9205 Sw Barnes Rd, Suite 102, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850

Dr Brian D Clark, MD, PHD - Medicare Radiology in Portland, OR