Dr Jason Craig Clark, MD | |
520 Valley View Dr, Moline, IL 61265-6194 | |
(309) 762-3621 | |
(309) 762-3690 |
Full Name | Dr Jason Craig Clark |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 20 Years |
Location | 520 Valley View Dr, Moline, Illinois |
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 |
---|---|---|---|
1811075856 | NPI | - | NPPES |
036125628 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | TRN7762 (Florida) | Secondary |
207X00000X | Orthopaedic Surgery | 38994 (Iowa) | Secondary |
207X00000X | Orthopaedic Surgery | 036125628 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Genesis Hlth System Dba Genesis Mdl Ctr-illini | Silvis, IL | Hospital |
Trinity - Rock Island | Rock island, IL | Hospital |
Genesis Medical Center-davenport | Davenport, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ora Orthopedics Pc | 6406741784 | 104 |
Ora Orthopedics Pc | 6406741784 | 104 |
Entity Name | Ora Orthopedics Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962481861 PECOS PAC ID: 6406741784 Enrollment ID: O20040216001316 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Craig Clark, MD 520 Valley View Dr, Moline, IL 61265-6194 Ph: (309) 762-3621 | Dr Jason Craig Clark, MD 520 Valley View Dr, Moline, IL 61265-6194 Ph: (309) 762-3621 |
Steven A Boardman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Dr. Kevin Anthony Hodge, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 | |
Shawn W Wynn, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Mark G Stewart, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Michael A Turner, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Richard S Collins, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 | |
Mr. Waqas M Hussain, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Valley View Dr, Moline, IL 61265 Phone: 309-762-3621 Fax: 309-762-3690 |