Stephen Travis Clark, DO in Kaysville, UT

Stephen Travis Clark, DO is a medicare enrolled "Family Medicine" physician in Kaysville, Utah. His current practice location is 435 N Main St, Kaysville, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 498-6000.

Stephen Travis Clark is licensed to practice in Utah (license number 11893114-1204) 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 1760872071.

Contact Information

	Stephen Travis Clark, DO
	435 N Main St, Kaysville, UT 84037-1194
	(801) 498-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Stephen Travis Clark
Gender	Male
Speciality	Family Medicine
Location	435 N Main St, Kaysville, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760872071
Provider Enumeration Date: 01/26/2015
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 0244628428
Enrollment ID: I20211020000847

Medical Identifiers

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

Identifier	Type	State	Issuer
1760872071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11893114-1204 (Utah)	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. Stephen Travis Clark allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Stephen Travis 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
Stephen Travis Clark, DO Po Box 27128, Salt Lake City, UT 84127-0128 Ph: () -	Stephen Travis Clark, DO 435 N Main St, Kaysville, UT 84037-1194 Ph: (801) 498-6000

Reviews and Comments

Family Medicine Doctors in Kaysville, UT

Dr. Dustin G Child, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 N 400 W, Kaysville, UT 84037 Phone: 801-773-4840 Fax: 801-525-8151
Dr. Layne K Kamalu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 S Main St, Kaysville, UT 84037 Phone: 801-544-4227 Fax: 801-544-3724
Dr. Nicholas Noble, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 349 N Flint St Ste 101, Kaysville, UT 84037 Phone: 801-927-3080 Fax: 801-927-3088
Dr. Michael C Yeates, DO, MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 380 North 400 West, Tanner Memorial Clinic, Kaysville, UT 84037 Phone: 801-773-4840 Fax: 801-525-8151
Dr. Brinton S Woods, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 435 N Main St, Kaysville, UT 84037 Phone: 801-498-6000
Dr. George Francis Snell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 721 Brookshire Holw, Kaysville, UT 84037 Phone: 801-593-8027

Stephen Travis Clark, DO - Medicare Family Medicine in Kaysville, UT