Dr Matthew John Clark, MD in Mount Pleasant, WI

Dr Matthew John Clark, MD is a medicare enrolled "Emergency Medicine" physician in Mount Pleasant, Wisconsin. He went to Vanderbilt University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tri-cities Regional Emergency Physicians, Pc and his current practice location is 3801 Spring St, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 687-4493.

Dr Matthew John Clark is licensed to practice in Wisconsin (license number 64936-20) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902224231.

Contact Information

	Dr Matthew John Clark, MD
	3801 Spring St, Mount Pleasant, WI 53405-1667
	(262) 687-4493
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Matthew John Clark
Gender	Male
Speciality	Emergency Medicine
Experience	10 Years
Location	3801 Spring St, Mount Pleasant, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Matthew John Clark attended and graduated from Vanderbilt University School Of Medicine in 2014

NPI Data:

NPI Number: 1902224231
Provider Enumeration Date: 04/03/2014
Last Update Date: 08/05/2024

Medicare PECOS Information:

PECOS PAC ID: 7214220714
Enrollment ID: I20200625002645

Medical Identifiers

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

Identifier	Type	State	Issuer
1902224231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	60882 (Tennessee)	Secondary
207P00000X	Emergency Medicine	64936-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital
Indian Path Community Hospital	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tri-cities Regional Emergency Physicians, Pc	3678859477	127

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 John Clark allows following entities to bill medicare on his behalf.

Entity Name	Tri-cities Regional Emergency Physicians, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063950046 PECOS PAC ID: 3678859477 Enrollment ID: O20170410002399

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 John 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 John Clark, MD 10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315 Ph: (414) 877-5350	Dr Matthew John Clark, MD 3801 Spring St, Mount Pleasant, WI 53405-1667 Ph: (262) 687-4493

Reviews and Comments

Emergency Medicine Doctors in Mount Pleasant, WI

Dr. James Samuel, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088 Fax: 262-884-4078
Michael G Manske, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4088
Dr. Joseph Thomas Humphrey, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4201 Fax: 262-687-4334
Dr. Suhas Channappa, M.D., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012

Dr Matthew John Clark, MD - Medicare Emergency Medicine in Mount Pleasant, WI