Dr Clark Jon Knutson, MD in Plattsburgh, NY

Dr Clark Jon Knutson, MD is a medicare enrolled "Pediatrics" physician in Plattsburgh, New York. His current practice location is 151 Bridge Street, Plattsburgh, New York. You can reach out to his office (for appointments etc.) via phone at (518) 561-7337.

Dr Clark Jon Knutson is licensed to practice in New York (license number 2128611) 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 1730276247.

Contact Information

	Dr Clark Jon Knutson, MD
	151 Bridge Street, Plattsburgh, NY 12901
	(518) 561-7337
	(518) 561-1335

Map and Direction

Physician's Profile

Full Name	Dr Clark Jon Knutson
Gender	Male
Speciality	Pediatrics
Location	151 Bridge Street, Plattsburgh, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730276247
Provider Enumeration Date: 10/06/2006
Last Update Date: 08/01/2024

Medicare PECOS Information:

PECOS PAC ID: 3971787755
Enrollment ID: I20190516002272

Medical Identifiers

Medical identifiers for Dr Clark Jon Knutson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730276247	NPI	-	NPPES
000490822003	Other	NY	BSNNY
0054654	Medicaid	OH
01908429	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	35C001716 (Ohio)	Secondary
208000000X	Pediatrics	2128611 (New York)	Primary
208M00000X	Hospitalist	35C001716 (Ohio)	Secondary

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 Clark Jon Knutson allows following entities to bill medicare on his behalf.

Entity Name	Vi Government Hospital And Health Facilities Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487699047 PECOS PAC ID: 6204722879 Enrollment ID: O20040223000586

Entity Name	Governor Juan F Luis Hospital & Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972503647 PECOS PAC ID: 1153233804 Enrollment ID: O20070515000578

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 Clark Jon Knutson 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 Clark Jon Knutson, MD 151 Bridge Street, Plattsburgh, NY 12901 Ph: (518) 561-7337	Dr Clark Jon Knutson, MD 151 Bridge Street, Plattsburgh, NY 12901 Ph: (518) 561-7337

Reviews and Comments

Pediatrics Doctors in Plattsburgh, NY

Christina A Gallus, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 87 Plaza Blvd, Plattsburgh, NY 12901 Phone: 518-536-7060 Fax: 518-536-7075
Harold H Chaskey Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 151 Bridge Street, Plattsburgh, NY 12901 Phone: 518-561-7337 Fax: 581-561-1335
Dr. Erin Laura Spees, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18 Feathers Dr, Plattsburgh, NY 12901 Phone: 518-324-2040
Sudha S Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4 Pinewood Drive, Plattsburgh, NY 12901 Phone: 518-563-7292
David P Beguin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 159 Margaret St, Suite 103, Plattsburgh, NY 12901 Phone: 518-562-0151 Fax: 518-562-2718
Philip Matthew Magcalas, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18 Feathers Dr, Plattsburgh, NY 12901 Phone: 518-324-2040 Fax: 518-324-2041
Mrs. Deirdre Ruth Schaefer, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 159 Margaret St, Suite 100, Plattsburgh, NY 12901 Phone: 518-324-2040 Fax: 518-324-2040

Dr Clark Jon Knutson, MD - Medicare Pediatrics in Plattsburgh, NY