Riley Clark, MD in Fargo, ND - Medicare Hospitalist

Riley Clark, MD is a medicare enrolled "Hospitalist" physician in Fargo, North Dakota. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Sanford Medical Center Fargo and his current practice location is 5225 23rd Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 417-2000.

Riley Clark is licensed to practice in North Dakota (license number 15687) 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 1114370814.

Contact Information

	Riley Clark, MD
	5225 23rd Ave S, Fargo, ND 58104-7927
	(701) 417-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Riley Clark
Gender	Male
Speciality	Hospitalist
Experience	8 Years
Location	5225 23rd Ave S, Fargo, North Dakota
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:

Riley Clark graduated from medical school in 2016

NPI Data:

NPI Number: 1114370814
Provider Enumeration Date: 07/18/2016
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 6103250931
Enrollment ID: I20200102001263

Medical Identifiers

Medical identifiers for Riley Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114370814	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	15687 (North Dakota)	Primary
207R00000X	Internal Medicine	RL14170 (North Dakota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Medical Center Fargo	Fargo, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center Fargo	8426967803	1085

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. Riley Clark allows following entities to bill medicare on his behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

Entity Name	Sanford Medical Center Fargo
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495

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. Riley 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
Riley Clark, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Riley Clark, MD 5225 23rd Ave S, Fargo, ND 58104-7927 Ph: (701) 417-2000

Reviews and Comments

Hospitalist Doctors in Fargo, ND

Malik Muhammad Anwar Ul Haq, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000
Christina Harmon, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000
Irina Hillman, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535
Hannah Margaret Schradick, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933
James D Fowler, PA Hospitalist Medicare: Medicare Enrolled Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575
Weimin Hao, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 737 Broadway, Fargo, ND 58122 Phone: 701-234-2731 Fax: 701-234-2158

Riley Clark, MD - Medicare Hospitalist in Fargo, ND