Dr Stanley Corbin Clark, MD - Medicare Urology in Sandy, UT

Dr Stanley Corbin Clark, MD is a medicare enrolled "Urology" physician in Sandy, Utah. His current practice location is 9690 S 1300 E, 100, Sandy, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 571-5121.

Dr Stanley Corbin Clark is licensed to practice in Utah (license number 172492-1205) 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 1770591620.

Contact Information

Dr Stanley Corbin Clark, MD
9690 S 1300 E, 100,
Sandy, UT 84094-3721
(801) 571-5121
(801) 572-5358

Map and Direction




Physician's Profile

Full NameDr Stanley Corbin Clark
GenderMale
SpecialityUrology
Location9690 S 1300 E, Sandy, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770591620
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 05/08/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 0749280121
  • Enrollment ID: I20230927002388

Medical Identifiers

Medical identifiers for Dr Stanley Corbin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770591620NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 172492-1205 (Utah)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 Stanley Corbin Clark allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20031211000028
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619176997
PECOS PAC ID: 7719873496
Enrollment ID: O20040227000744

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 Stanley Corbin 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 AddressPractice Location Address
Dr Stanley Corbin Clark, MD
9690 S 1300 E, 100,
Sandy, UT 84094-3721

Ph: (801) 571-5121
Dr Stanley Corbin Clark, MD
9690 S 1300 E, 100,
Sandy, UT 84094-3721

Ph: (801) 571-5121

Reviews and Comments


Urology Doctors in Sandy, UT

Dr. Elisabeth A Ferlic, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 9720 S 1300 E, Suite E230, Sandy, UT 84094
Phone: 801-501-2950    Fax: 801-501-2951
Dr. Richard Francis Labasky, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 9600 S 1300 E, #303, Sandy, UT 84094
Phone: 801-501-5300    Fax: 801-501-5350
Dr. Jay B Page, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 9600 S 1300 E Ste 240, Sandy, UT 84094
Phone: 801-993-1800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.