Dr Scott Clark, MD in Longmont, CO - Medicare Dermatology

Dr Scott Clark, MD is a medicare enrolled "Dermatology" physician in Longmont, Colorado. He went to Baylor College Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 1925 W Mountain View Ave, Longmont, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 776-1234.

Dr Scott Clark is licensed to practice in Colorado (license number 25764) 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 1366447740.

Contact Information

	Dr Scott Clark, MD
	1925 W Mountain View Ave, Longmont, CO 80501-3128
	(303) 776-1234
	(720) 494-3107

Map and Direction

Physician's Profile

Full Name	Dr Scott Clark
Gender	Male
Speciality	Dermatology
Experience	44 Years
Location	1925 W Mountain View Ave, Longmont, Colorado
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 Scott Clark attended and graduated from Baylor College Of Medicine in 1980

NPI Data:

NPI Number: 1366447740
Provider Enumeration Date: 06/14/2005
Last Update Date: 03/10/2015

Medicare PECOS Information:

PECOS PAC ID: 8628962933
Enrollment ID: I20100826001220

Medical Identifiers

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

Identifier	Type	State	Issuer
1366447740	NPI	-	NPPES
01257641	Medicaid	CO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	25764 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Poudre Valley Medical Group Llc	9638208549	1607

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

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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 Scott 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 Scott Clark, MD 1925 W Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234	Dr Scott Clark, MD 1925 W Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234

Reviews and Comments

Dermatology Doctors in Longmont, CO

Dr. Kristin M Baird, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1551 Professional Ln, Suite 135, Longmont, CO 80501 Phone: 303-532-2810 Fax: 303-532-2816
John Christopher Fueston, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 205 S Main St, Suite E, Longmont, CO 80501 Phone: 303-485-8913 Fax: 303-485-8914
Emily Anne Merkel, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1551 Professional Ln Unit 135, Longmont, CO 80501 Phone: 303-532-2810
Mrs. Isabel Koelsch, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1850 Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1500 Fax: 303-772-2995
Dr. Peter Bachmann, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1925 Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107

Dr Scott Clark, MD - Medicare Dermatology in Longmont, CO