William Matt Clark, MD in Salt Lake City, UT

William Matt Clark, MD is a medicare enrolled "Anesthesiology" physician in Salt Lake City, Utah. His current practice location is 100 N Medical Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 588-3272.

William Matt Clark is licensed to practice in Utah (license number 170625-1205) 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 1386759041.

Contact Information

	William Matt Clark, MD
	100 N Medical Dr, Salt Lake City, UT 84113-1103
	(801) 588-3272
	(801) 588-3279

Map and Direction

Physician's Profile

Full Name	William Matt Clark
Gender	Male
Speciality	Anesthesiology
Location	100 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386759041
Provider Enumeration Date: 08/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8224113378
Enrollment ID: I20080313000154

Medical Identifiers

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

Identifier	Type	State	Issuer
1386759041	NPI	-	NPPES
PRA01666	Other	UT	MOLINA
107010384101	Other	UT	IHC
QM0000049510	Other	UT	ALTIUS
17965	Other	UT	PEHP
401765	Medicaid	MT
2000040	Other	UT	UNITED HEALTHCARE
2430	Other	UT	HEALTHY U
416932	Other	UT	DESERET MUTUAL
870280408CL2	Other	UT	EDUCATORS MUTUAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	170625-1205 (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. William Matt Clark allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Anesthesiologists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417965799 PECOS PAC ID: 4385618578 Enrollment ID: O20040824000152

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. William Matt 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
William Matt Clark, MD 1954 Fort Union Blvd, 111, Salt Lake City, UT 84121-6800 Ph: (801) 993-9551	William Matt Clark, MD 100 N Medical Dr, Salt Lake City, UT 84113-1103 Ph: (801) 588-3272

Reviews and Comments

Anesthesiology Doctors in Salt Lake City, UT

Dr. Anne Wierman Estares, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Rm 4c104, Salt Lake City, UT 84132 Phone: 719-314-5254
Ashley Nicole Langell, MS, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c444, Salt Lake City, UT 84132 Phone: 801-581-3622
Dr. Nicole Jeffreys, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3578
Matthew L Peterson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618
Dr. Jeffrey David Dillon, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 30 N 1900 E, Room 3c444, Salt Lake City, UT 84132 Phone: 801-581-6393 Fax: 801-581-4367
Jennifer Jean Davis, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-6393
Dennis L. Morris, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-993-9530 Fax: 801-733-5618

William Matt Clark, MD - Medicare Anesthesiology in Salt Lake City, UT