Michael J Clark, DO - Medicare Family Practice in Thief River Falls, MN

Michael J Clark, DO is a medicare enrolled "Family Medicine" physician in Thief River Falls, Minnesota. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 1980 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sanford Health Network North and his current practice location is 1720 Highway 59 S, Thief River Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 681-4747.

Michael J Clark is licensed to practice in Minnesota (license number 27254) 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 1215967898.

Contact Information

Michael J Clark, DO
1720 Highway 59 S,
Thief River Falls, MN 56701-4331
(218) 681-4747
(218) 683-2595

Map and Direction




Physician's Profile

Full NameMichael J Clark
GenderMale
SpecialityFamily Practice
Experience44 Years
Location1720 Highway 59 S, Thief River Falls, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael J Clark attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1980
  NPI Data:
  • NPI Number: 1215967898
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 03/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961307194
  • Enrollment ID: I20031202000073

Medical Identifiers

Medical identifiers for Michael J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215967898NPI-NPPES
2441653OtherFMAMERICA'S PPO/ARAZ #
507S2CLOtherMNMNBS #
564508500MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27254 (Minnesota)Primary
207Q00000XFamily Medicine 5746 (North Dakota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Health Network North802220666383

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 J Clark allows following entities to bill medicare on his behalf.
Entity NameLakewood Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972799237
PECOS PAC ID: 5698687929
Enrollment ID: O20031104000469
Entity NameLifecare Medical Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1609861095
PECOS PAC ID: 4789586884
Enrollment ID: O20061104000664
Entity NameLakewood Health Center
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1922072776
PECOS PAC ID: 5698687929
Enrollment ID: O20080118000179
Entity NameSanford Health Network North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386047355
PECOS PAC ID: 8022206663
Enrollment ID: O20180205002429
Entity NameSanford Health Network North
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1043218753
PECOS PAC ID: 8022206663
Enrollment ID: O20180222001872

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 J 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 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

Reviews and Comments


Family Medicine Doctors in Thief River Falls, MN

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    

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.