Emily June Puukka Clark, MD in Tigard, OR

Emily June Puukka Clark, MD is a medicare enrolled "Family Medicine" physician in Tigard, Oregon. She went to Oregon Health Sciences University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Providence Health And Services Oregon, Premere Rehab Llc and her current practice location is 18040 Sw Lower Boones Ferry Rd, Ste 100, Tigard, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 216-0700.

Emily June Puukka Clark is licensed to practice in Oregon (license number MD157668) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174759849.

Contact Information

	Emily June Puukka Clark, MD
	18040 Sw Lower Boones Ferry Rd, Ste 100, Tigard, OR 97224-7258
	(503) 216-0700
	Not Available

Map and Direction

Physician's Profile

Full Name	Emily June Puukka Clark
Gender	Female
Speciality	Family Practice
Experience	15 Years
Location	18040 Sw Lower Boones Ferry Rd, Tigard, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Emily June Puukka Clark attended and graduated from Oregon Health Sciences University School Of Medicine in 2009

NPI Data:

NPI Number: 1174759849
Provider Enumeration Date: 06/08/2009
Last Update Date: 10/13/2020

Medicare PECOS Information:

PECOS PAC ID: 6901069061
Enrollment ID: I20120530000134

Medical Identifiers

Medical identifiers for Emily June Puukka Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174759849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	LL18426 (Oregon)	Secondary
207Q00000X	Family Medicine	MD157668 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Home Health	Portland, OR	Home health agency
Providence Hospice	Portland, OR	Hospice
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Newberg Medical Center	Newberg, OR	Hospital
Providence Portland Medical Center	Portland, OR	Hospital
Legacy Meridian Park Medical Center	Tualatin, OR	Hospital
Providence Willamette Falls Medical Center	Oregon city, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344
Premere Rehab Llc	2567434764	66

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. Emily June Puukka Clark allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

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. Emily June Puukka 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
Emily June Puukka Clark, MD Po Box 3158, Portland, OR 97208-3158 Ph: () -	Emily June Puukka Clark, MD 18040 Sw Lower Boones Ferry Rd, Ste 100, Tigard, OR 97224-7258 Ph: (503) 216-0700

Reviews and Comments

Family Medicine Doctors in Tigard, OR

Dr. Michael Shihjay Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-221-0161 Fax: 503-452-3200
Daniel L Graham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13200 Sw Pacific Hwy, Tigard, OR 97223 Phone: 503-598-2000 Fax: 503-639-0920
Nathan A Way, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18040 Sw Lower Boones Ferry Rd Ste 100, Tigard, OR 97224 Phone: 503-216-0700
Michele Nicolette Adamcak, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556
Jonathan Clark Crist, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9250 Sw Hall Blvd, Tigard, OR 97223 Phone: 503-293-0161 Fax: 503-297-9357
Anne Michelle Valente, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11900 Sw Greenburg Rd, Tigard, OR 97223 Phone: 503-620-5556
Douglas R Niehus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223 Phone: 503-216-9200 Fax: 503-216-9220

Emily June Puukka Clark, MD - Medicare Family Practice in Tigard, OR