Dr Robert Leon Clark, MD | |
17058 Se 58th St, Bellevue, WA 98006-5595 | |
(206) 790-2397 | |
(425) 641-4827 |
Full Name | Dr Robert Leon Clark |
---|---|
Gender | Male |
Speciality | Critical Care (intensivists) |
Experience | 43 Years |
Location | 17058 Se 58th St, Bellevue, Washington |
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 |
---|---|---|---|
1508850181 | NPI | - | NPPES |
1508850181 | Medicaid | WA | |
38110 | Other | L&I | |
810000222 | Other | WA | RR MEDICARE |
P01365435 | Other | WA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | MD 00030055 (Washington) | Primary |
207RC0200X | Internal Medicine - Critical Care Medicine | MD 00030055 (Washington) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bonner General Hospital | Sandpoint, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Internal Medicine Associates, P.a. | 1759366818 | 3 |
Bonner General Hospital Inc | 4082690466 | 35 |
Entity Name | Saint Alphonsus Regional Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
Entity Name | Internal Medicine Associates, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154361988 PECOS PAC ID: 1759366818 Enrollment ID: O20040622001333 |
Entity Name | Bonner General Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154563963 PECOS PAC ID: 4082690466 Enrollment ID: O20040626000014 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Leon Clark, MD 17058 Se 58th St, Bellevue, WA 98006-5595 Ph: (206) 790-2397 | Dr Robert Leon Clark, MD 17058 Se 58th St, Bellevue, WA 98006-5595 Ph: (206) 790-2397 |
Christine Chiu, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1135 116th Ave Ne Ste 450, Bellevue, WA 98004 Phone: 425-289-3130 | |
Joseph W Doucette, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, Suite 600, Bellevue, WA 98004 Phone: 425-454-2656 Fax: 425-990-5261 | |
Roanne R E Selinger, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, #560, Bellevue, WA 98004 Phone: 425-454-4768 Fax: 425-462-8021 | |
Patsy C Lazarous, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 844-620-1839 | |
Dr. Patricia Martin, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1407 116th Ave Ne, Suite 200, Bellevue, WA 98004 Phone: 425-454-5046 Fax: 425-990-5261 | |
Dr. Rahil Barketali Roopani, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1800 116th Ave Ne Ste 102, Bellevue, WA 98004 Phone: 425-947-9485 Fax: 425-977-9034 | |
David C Morton, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, Suite 110a, Bellevue, WA 98004 Phone: 425-289-3100 Fax: 425-289-3103 |