Dr Stephanie Donoso Clark, MD in Yuma, AZ

Dr Stephanie Donoso Clark, MD is a medicare enrolled "Family Medicine" physician in Yuma, Arizona. Her current practice location is 2400 S Avenue A, Yuma, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 336-1290.

Dr Stephanie Donoso Clark is licensed to practice in Arizona (license number 1908R77910) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487276614.

Contact Information

	Dr Stephanie Donoso Clark, MD
	2400 S Avenue A, Yuma, AZ 85364-7170
	(928) 336-1290
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Stephanie Donoso Clark
Gender	Female
Speciality	Family Medicine
Location	2400 S Avenue A, Yuma, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487276614
Provider Enumeration Date: 05/11/2020
Last Update Date: 05/11/2020

Medicare PECOS Information:

PECOS PAC ID: 7810310695
Enrollment ID: I20231013001020

Medical Identifiers

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

Identifier	Type	State	Issuer
1487276614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1908R77910 (Arizona)	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 Stephanie Donoso Clark allows following entities to bill medicare on her behalf.

Entity Name	Yuma Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526

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 Stephanie Donoso 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 Stephanie Donoso Clark, MD 2400 S Avenue A, Yuma, AZ 85364-7170 Ph: (928) 336-1290	Dr Stephanie Donoso Clark, MD 2400 S Avenue A, Yuma, AZ 85364-7170 Ph: (928) 336-1290

Reviews and Comments

Family Medicine Doctors in Yuma, AZ

Dr. Tomasz Sebastian Gregory Fudalewski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 S Ave A, Yuma, AZ 85364 Phone: 928-336-1290
Shawn Youngtae Sunu, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1965 W 24th St Ste A, Yuma, AZ 85364 Phone: 928-344-5774
Dr. Simi K. Dhillon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Yuma Regional Medical Center, 2400s. Ave A, Yuma, AZ 85364 Phone: 928-344-2000
Dr. Grace Anne Surprise Garratt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 S 8th Ave Ste 200, Yuma, AZ 85364 Phone: 928-336-7095
Palak Satija, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2400 S Avenue A, Yuma, AZ 85364 Phone: 928-336-1290
Dr. Arun T Varughese, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 S Avenue A, Yuma, AZ 85364 Phone: 832-340-5657
Alec Zamarripa, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Po Box 99116, Yuma, AZ 85369 Phone: 928-269-2416

Dr Stephanie Donoso Clark, MD - Medicare Family Medicine in Yuma, AZ