Dr Howard Brent Clark, MD | |
University Of Minnesota Physicians, 420 Delaware Street Se, 760 Mayo Memorial Building, Minneapolis, MN 55455 | |
(612) 626-0622 | |
(612) 626-2696 |
Full Name | Dr Howard Brent Clark |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 46 Years |
Location | University Of Minnesota Physicians, Minneapolis, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568490662 | NPI | - | NPPES |
101350 | Other | MN | UCARE |
32008600 | Medicaid | WI | |
HP22280 | Other | MN | HEALTHPARTNERS |
2T209CL | Other | MN | BCBS |
768064 | Other | MN | ARAZ |
11-74537 | Other | MN | MEDICA PRIMARY |
876505700 | Medicaid | MN | |
1009073 | Other | MN | PREFERRED ONE |
11-22542 | Other | MN | MEDICA CHOICE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZN0500X | Pathology - Neuropathology | 33386 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Express Care | 3375645179 | 1537 |
University Of Minnesota Physicians | 9830001189 | 124 |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Healtheast Medical Research Institute |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
Mailing Address | Practice Location Address |
---|---|
Dr Howard Brent Clark, MD University Of Minnesota Physicians, 420 Delaware Street Se, Mmc 609, Minneapolis, MN 55455 Ph: (612) 626-0622 | Dr Howard Brent Clark, MD University Of Minnesota Physicians, 420 Delaware Street Se, 760 Mayo Memorial Building, Minneapolis, MN 55455 Ph: (612) 626-0622 |
Khalid Amin, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, C463 Mayo Memorial Bldg, Mayo Mail Code 76, Minneapolis, MN 55455 Phone: 913-827-3505 | |
Dr. Laura L Schmitz, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Minneapolis, MN 55422 Phone: 763-581-4150 Fax: 763-581-4151 | |
Dr. Michael Patrick Greenwood, MD Pathology Medicare: Medicare Enrolled Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422 | |
Deborah Elizabeth Powell, MD Pathology Medicare: Medicare Enrolled Practice Location: 500 Harvard St Se, Lab Med & Pathology, Minneapolis, MN 55455 Phone: 612-273-1142 | |
Yiang Hui, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 2800 10th Ave S Ste 2200, Minneapolis, MN 55407 Phone: 612-767-8373 | |
Ezzaddin Al Wahsh, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 | |
Dr. Pamela Ann Sakkinen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2800 10th Ave S Ste 2200, Hospital Pathology Assoc, Minneapolis, MN 55407 Phone: 612-767-8370 Fax: 612-767-8376 |