Jay Austin Clark, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in American Fork, Utah. He went to University Of Utah School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is
170 N 1100 E, American Fork, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 357-2480.
Jay Austin Clark is licensed to practice in Utah (license number 4939552-1205) 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 1952329088.
Physician's Profile
Full Name | Jay Austin Clark |
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Gender | Male |
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Speciality | Radiation Oncology |
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Experience | 31 Years |
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Location | 170 N 1100 E, American Fork, Utah |
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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:
- Jay Austin Clark attended and graduated from University Of Utah School Of Medicine in 1993
NPI Data:
- NPI Number: 1952329088
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 09/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880668540
- Enrollment ID: I20040819001538
Medical Identifiers
Medical identifiers for Jay Austin Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952329088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 4939552-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
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. Jay Austin Clark allows following entities to bill medicare on his behalf.
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
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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. Jay Austin 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 |
Jay Austin Clark, MD Po Box 27128, Salt Lake City, UT 84127-0128 Ph: (801) 357-2480 | Jay Austin Clark, MD 170 N 1100 E, American Fork, UT 84003-2096 Ph: (801) 357-2480 |
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