Michael E Clark, MD - Medicare Obstetrics & Gynecology in Tacoma, WA

  1. Home
  2. Obstetrics & Gynecology
  3. WA
  4. Tacoma
Michael E Clark, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Tacoma, Washington. His current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-1159.

Michael E Clark is licensed to practice in Washington (license number MD60844955) 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 1770675092.

Contact Information

Michael E Clark, MD
9040 Jackson Ave,
Tacoma, WA 98431-1100
(253) 968-1159
Not Available

Map and Direction




Physician's Profile

Full NameMichael E Clark
GenderMale
SpecialityObstetrics & Gynecology
Location9040 Jackson Ave, Tacoma, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770675092
  • Provider Enumeration Date: 09/28/2006
  • Last Update Date: 02/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1254486160
  • Enrollment ID: I20200324000345

Medical Identifiers

Medical identifiers for Michael E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770675092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 28952 (Alabama)Secondary
207V00000XObstetrics & Gynecology MD60844955 (Washington)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. Michael E Clark allows following entities to bill medicare on his behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760
Entity NameKing County Public Hospital District No 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801986070
PECOS PAC ID: 7618880097
Enrollment ID: O20031111000557
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789
Entity NameEastside Ob/gyn Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740421585
PECOS PAC ID: 1850437302
Enrollment ID: O20091014000186
Entity NameValley Medical Group-renton
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619209574
PECOS PAC ID: 4183753965
Enrollment ID: O20100604000113
Entity NameObhg Washington Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962729525
PECOS PAC ID: 0345364642
Enrollment ID: O20100823001087

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. Michael E 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
Michael E Clark, MD
12725 172nd St E, Apt Gg-204,
Puyallup, WA 98374-8709

Ph: (251) 605-9018		Michael E Clark, MD
9040 Jackson Ave,
Tacoma, WA 98431-1100

Ph: (253) 968-1159

Reviews and Comments


Obstetrics & Gynecology Doctors in Tacoma, WA

Dr. Melodie M Icasiano, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Madigan Army Medical Center, Bldg 9040 Fitzsimmons Dr., Tacoma, WA 98431
Phone: 253-968-1740    
Dr. Angela Lorraine Gray, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1608 S J St Fl 1, Tacoma, WA 98405
Phone: 253-274-7501    Fax: 206-246-0468
James Lin, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 521 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-403-4747    
Amanda Carpenter Cousins, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9040 Jackson Ave Madigan Army Medical Center, Tacoma, WA 98431
Phone: 301-295-4000    
Ladonna Rae Jones, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 314 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-403-9860    
Dr. Karen M Nelson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 314 Martin Luther King Jr Way, Suite 400, Tacoma, WA 98405
Phone: 253-627-0666    
Rachel Y Kim, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-596-3300    Fax: 253-596-3301

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.