Michael J Clark, DO | |
1720 Highway 59 S, Thief River Falls, MN 56701-4331 | |
(218) 681-4747 | |
(218) 683-2595 |
Full Name | Michael J Clark |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 44 Years |
Location | 1720 Highway 59 S, Thief River Falls, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215967898 | NPI | - | NPPES |
2441653 | Other | FM | AMERICA'S PPO/ARAZ # |
507S2CL | Other | MN | MNBS # |
564508500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27254 (Minnesota) | Primary |
207Q00000X | Family Medicine | 5746 (North Dakota) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Health Network North | 8022206663 | 83 |
Entity Name | Lakewood Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972799237 PECOS PAC ID: 5698687929 Enrollment ID: O20031104000469 |
Entity Name | Lifecare Medical Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1609861095 PECOS PAC ID: 4789586884 Enrollment ID: O20061104000664 |
Entity Name | Lakewood Health Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1922072776 PECOS PAC ID: 5698687929 Enrollment ID: O20080118000179 |
Entity Name | Sanford Health Network North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
Entity Name | Sanford Health Network North |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872 |
Mailing Address | Practice Location Address |
---|---|
Michael J Clark, DO 1720 Highway 59 S, Thief River Falls, MN 56701-4331 Ph: (218) 681-4747 | Michael J Clark, DO 1720 Highway 59 S, Thief River Falls, MN 56701-4331 Ph: (218) 681-4747 |
Scott W Petrescue, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-684-4747 | |
Soheil Souri, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4747 | |
Katherine Joseph, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-281-4747 | |
Dr. Hugh Ben Cowan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Northwest Medical Center, Thief River Falls, MN 56701 Phone: 218-681-4240 | |
Duane C Browning, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
Dr. Roy Taylor Klossner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-683-2725 |