Dr James M Clark, DO - Medicare Emergency Medicine in Moscow, ID

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Dr James M Clark, DO is a medicare enrolled "Emergency Medicine" physician in Moscow, Idaho. His current practice location is 700 S Main St, Moscow, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 882-4511.

Dr James M Clark is licensed to practice in Idaho (license number O-272) 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 1578523577.

Contact Information

Dr James M Clark, DO
700 S Main St,
Moscow, ID 83843
(208) 882-4511
Not Available

Map and Direction




Physician's Profile

Full NameDr James M Clark
GenderMale
SpecialityEmergency Medicine
Location700 S Main St, Moscow, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578523577
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 04/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5597664672
  • Enrollment ID: I20051007000470

Medical Identifiers

Medical identifiers for Dr James M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578523577NPI-NPPES
1578523577MedicaidID
806111700MedicaidID
1578523577MedicaidMT
1578523577MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OP00001738 (Washington)Secondary
207P00000XEmergency Medicine O-272 (Idaho)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 James M Clark allows following entities to bill medicare on his behalf.
Entity NamePublic Hospital District #1-a Of Whitman County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366446767
PECOS PAC ID: 8325934987
Enrollment ID: O20040223000506
Entity NamePublic Hospital District #1-a Of Whitman County
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1366446767
PECOS PAC ID: 8325934987
Enrollment ID: O20070912000859

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 James M 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 AddressPractice Location Address
Dr James M Clark, DO
700 S Main St,
Moscow, ID 83843-3046

Ph: (208) 882-4511		Dr James M Clark, DO
700 S Main St,
Moscow, ID 83843

Ph: (208) 882-4511

Reviews and Comments


Emergency Medicine Doctors in Moscow, ID

Lauren Brogis, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 700 S Main St, Moscow, ID 83843
Phone: 208-882-4511    
Dr. Debra K Mckinnon, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 700 S Main St, Moscow, ID 83843
Phone: 208-882-4511    Fax: 208-883-6580
Dr. Kurt R Martyn, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 700 S Main St, Moscow, ID 83843
Phone: 208-882-4511    Fax: 208-883-6580
Victoria Bernard, PA-C
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 619 S Washington St, Moscow, ID 83843
Phone: 209-892-1346    
William E Caldwell, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 623 S Main St, Moscow, ID 83843
Phone: 208-882-2011    Fax: 208-883-1853
Dr. Nicholas Garrett, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 700 S Main St, Moscow, ID 83843
Phone: 208-882-4511    Fax: 208-883-6580

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.