Dr Stacey K Clark, MD in Spokane Valley, WA - Medicare Emergency Medicine

Dr Stacey K Clark, MD is a medicare enrolled "Emergency Medicine" physician in Spokane Valley, Washington. His current practice location is 16528 E Desmet Ct, Spokane Valley, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 944-8910.

Dr Stacey K Clark is licensed to practice in Washington (license number MD60733583) 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 1013170869.

Contact Information

	Dr Stacey K Clark, MD
	16528 E Desmet Ct, Spokane Valley, WA 99216-3522
	(509) 944-8910
	(509) 227-7070

Map and Direction

Physician's Profile

Full Name	Dr Stacey K Clark
Gender	Male
Speciality	Emergency Medicine
Location	16528 E Desmet Ct, Spokane Valley, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013170869
Provider Enumeration Date: 07/02/2008
Last Update Date: 01/10/2018

Medicare PECOS Information:

PECOS PAC ID: 7214116383
Enrollment ID: I20170630001518

Medical Identifiers

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

Identifier	Type	State	Issuer
1013170869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	4301092664 (Michigan)	Secondary
207P00000X	Emergency Medicine	MD60733583 (Washington)	Primary

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 Stacey K Clark allows following entities to bill medicare on his behalf.

Entity Name	Pacific County Hospital District 2
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295708683 PECOS PAC ID: 8224939301 Enrollment ID: O20040120000991

Entity Name	Public Hospital District #1-a Of Whitman County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20040223000506

Entity Name	Public Hospital District #1-a Of Whitman County
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1366446767 PECOS PAC ID: 8325934987 Enrollment ID: O20070912000859

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 Stacey K 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 Stacey K Clark, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (509) 747-2455	Dr Stacey K Clark, MD 16528 E Desmet Ct, Spokane Valley, WA 99216-3522 Ph: (509) 944-8910

Reviews and Comments

Emergency Medicine Doctors in Spokane Valley, WA

William G. Fernandez, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1502 N Vercler Rd, Spokane Valley, WA 99216 Phone: 509-444-8200
William Wheeler, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16528 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-944-8910 Fax: 509-227-7070
James Hunter Mafera, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-924-6650
Paula M Silha, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-924-6650
Dr. Kaleb Lorenz Topp, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12606 E Mission Ave, Spokane Valley, WA 99216 Phone: 509-924-6650
Randall Volk, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 16528 E Desmet Ct, Spokane Valley, WA 99216 Phone: 509-944-8910 Fax: 509-227-7070

Dr Stacey K Clark, MD - Medicare Emergency Medicine in Spokane Valley, WA