Dr Peter Clark, MD in Mammoth Lakes, CA - Medicare Family Practice

Dr Peter Clark, MD is a medicare enrolled "Family Medicine" physician in Mammoth Lakes, California. He went to Temple University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Southern Mono Health Care District and his current practice location is 85 Sierra Park Rd, Mammoth Lakes, California. You can reach out to his office (for appointments etc.) via phone at (760) 934-2551.

Dr Peter Clark is licensed to practice in California (license number A68635) 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 1528113628.

Contact Information

	Dr Peter Clark, MD
	85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660
	(760) 934-2551
	(760) 924-4081

Map and Direction

Physician's Profile

Full Name	Dr Peter Clark
Gender	Male
Speciality	Family Practice
Experience	28 Years
Location	85 Sierra Park Rd, Mammoth Lakes, California
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 Peter Clark attended and graduated from Temple University School Of Medicine in 1996

NPI Data:

NPI Number: 1528113628
Provider Enumeration Date: 01/25/2007
Last Update Date: 03/07/2013

Medicare PECOS Information:

PECOS PAC ID: 8325134083
Enrollment ID: I20071011000375

Medical Identifiers

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

Identifier	Type	State	Issuer
1528113628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A68635 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pioneer Home Health Care	Bishop, CA	Home health agency
Mammoth Hospital	Mammoth lakes, CA	Hospital
Northern Inyo Hospital	Bishop, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Mono Health Care District	9830002401	71

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

Entity Name	Southern Mono Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160

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 Peter 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 Peter Clark, MD Po Box 660, 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 Ph: (760) 923-4255	Dr Peter Clark, MD 85 Sierra Park Rd, Mammoth Lakes, CA 93546-0660 Ph: (760) 934-2551

Reviews and Comments

Family Medicine Doctors in Mammoth Lakes, CA

Dr. Dennis L. Crunk, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-934-2551 Fax: 760-924-4081
Dr. Mary Bassler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-2551 Fax: 760-924-4081
Dr. Roger L Claypool, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1934 Meridian Blvd., Mammoth Lakes, CA 93546 Phone: 760-977-1797 Fax: 760-924-7733

Dr Peter Clark, MD - Medicare Family Practice in Mammoth Lakes, CA