Kellan Fitzgerald Clark, DO is a medicare enrolled "Urology" physician in Hamilton, Montana. His current practice location is
1200 Westwood Dr Ste F, Hamilton, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 375-2930.
Kellan Fitzgerald Clark is licensed to practice in Montana (license number MED-PHYS-LIC-71931) 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 1134539091.
Physician's Profile
Full Name | Kellan Fitzgerald Clark |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1200 Westwood Dr Ste F, Hamilton, Montana |
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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:
- Kellan Fitzgerald Clark attended and graduated from in
NPI Data:
- NPI Number: 1134539091
- Provider Enumeration Date: 04/30/2014
- Last Update Date: 11/12/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kellan Fitzgerald Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134539091 | NPI | - | NPPES |
1134539091 | Medicaid | ID | |
100004016 | Medicaid | MT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | MED-PHYS-LIC-71931 (Montana) | Primary |
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. Kellan Fitzgerald 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 |
Kellan Fitzgerald Clark, DO 1200 Westwood Dr, Hamilton, MT 59840-2345 Ph: () - | Kellan Fitzgerald Clark, DO 1200 Westwood Dr Ste F, Hamilton, MT 59840-2345 Ph: (406) 375-2930 |
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