Dr Matthew Alexander Clark, MD is a medicare enrolled "Internal Medicine" physician in Towaoc, Colorado. His current practice location is
Ute Mountain Ute Health Center, Complex B Rustling Willow Street, Towaoc, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 565-4441.
Dr Matthew Alexander Clark is licensed to practice in Colorado (license number 39323) 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 1215993308.
Physician's Profile
Full Name | Dr Matthew Alexander Clark |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | Ute Mountain Ute Health Center, Towaoc, Colorado |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215993308
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 10/05/2009
Medicare PECOS Information:
- PECOS PAC ID: 4385782432
- Enrollment ID: I20091110000274
Medical Identifiers
Medical identifiers for Dr Matthew Alexander Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215993308 | NPI | - | NPPES |
24857751 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 39323 (Colorado) | Primary |
208000000X | Pediatrics | 39323 (Colorado) | 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 Matthew Alexander Clark allows following entities to bill medicare on his behalf.
Entity Name | Southern Colorado Ute Service Unit |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255422788 PECOS PAC ID: 2163454968 Enrollment ID: O20050831000974 |
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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 Matthew Alexander 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 Matthew Alexander Clark, MD Po Box 49, Towaoc, CO 81334-0049 Ph: (970) 565-4441 | Dr Matthew Alexander Clark, MD Ute Mountain Ute Health Center, Complex B Rustling Willow Street, Towaoc, CO 81334-0049 Ph: (970) 565-4441 |
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