Stacy L Clark, MD in Madison, WI - Medicare Family Practice

Stacy L Clark, MD is a medicare enrolled "Family Medicine" physician in Madison, Wisconsin. She went to Rush Medical College Of Rush University and graduated in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Of Wisconsin Medical Foundation Inc and her current practice location is 7102 Mineral Point Rd, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 828-7603.

Stacy L Clark is licensed to practice in Wisconsin (license number 68690-20) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679937072.

Contact Information

	Stacy L Clark, MD
	7102 Mineral Point Rd, Madison, WI 53717-1706
	(608) 828-7603
	(608) 828-7644

Map and Direction

Physician's Profile

Full Name	Stacy L Clark
Gender	Female
Speciality	Family Practice
Experience	8 Years
Location	7102 Mineral Point Rd, Madison, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stacy L Clark attended and graduated from Rush Medical College Of Rush University in 2016

NPI Data:

NPI Number: 1679937072
Provider Enumeration Date: 04/12/2016
Last Update Date: 09/02/2022

Medicare PECOS Information:

PECOS PAC ID: 0244523819
Enrollment ID: I20200324001146

Medical Identifiers

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

Identifier	Type	State	Issuer
1679937072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	68690-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Wi Hospitals & Clinics Authority	Madison, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Wisconsin Medical Foundation Inc	6608785464	2153

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. Stacy L Clark allows following entities to bill medicare on her behalf.

Entity Name	University Of Wisconsin Medical Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435

Entity Name	Sauk Prairie Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861466153 PECOS PAC ID: 8224948054 Enrollment ID: O20031208000206

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. Stacy L 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
Stacy L Clark, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () -	Stacy L Clark, MD 7102 Mineral Point Rd, Madison, WI 53717-1706 Ph: (608) 828-7603

Reviews and Comments

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Caitlin J Regner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1102 S Park St, Madison, WI 53715 Phone: 608-263-3111 Fax: 608-263-6663
Danalyn K Rayner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7102 Mineral Point Rd, Madison, WI 53717 Phone: 608-828-7603 Fax: 608-828-7644
Rosa A Gilestra, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 608-260-6000 Fax: 608-260-6161

Stacy L Clark, MD - Medicare Family Practice in Madison, WI