Dr Holly Clark, MD in Salt Lake City, UT - Medicare Gastroenterology

Dr Holly Clark, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Salt Lake City, Utah. She went to University Of Arizona College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 1250 E 3900 S, Suite 360, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 263-3041.

Dr Holly Clark is licensed to practice in Utah (license number 4977163) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376639047.

Contact Information

	Dr Holly Clark, MD
	1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1348
	(801) 263-3041
	(801) 263-8485

Map and Direction

Physician's Profile

Full Name	Dr Holly Clark
Gender	Female
Speciality	Gastroenterology
Experience	27 Years
Location	1250 E 3900 S, Salt Lake City, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Holly Clark attended and graduated from University Of Arizona College Of Medicine in 1997

NPI Data:

NPI Number: 1376639047
Provider Enumeration Date: 10/04/2006
Last Update Date: 06/09/2015

Medicare PECOS Information:

PECOS PAC ID: 7214921170
Enrollment ID: I20040413000966

Medical Identifiers

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

Identifier	Type	State	Issuer
1376639047	NPI	-	NPPES
49771631200001	Other	UT	BLUE CROSS BLUE SHIELD
49771631200001	Other	UT	HEALTHWISE
49771631200001	Other	UT	VALUE CARE
78498	Other	UT	PUBLIC EMPLOYEES
QM0000217387	Other	UT	ALTIUS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	4977163 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park City Hospital	Park city, UT	Hospital
Heber Valley Hospital	Heber city, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3228

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 Holly Clark allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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 Holly 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 Holly Clark, MD 6360 S 3000 E, #220, Salt Lake City, UT 84121-6923 Ph: (801) 263-3041	Dr Holly Clark, MD 1250 E 3900 S, Suite 360, Salt Lake City, UT 84124-1348 Ph: (801) 263-3041

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Gastroenterology Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Dr Holly Clark, MD - Medicare Gastroenterology in Salt Lake City, UT