Gregory P Clark, PA in Powell, WY - Medicare Physician Assistant

Gregory P Clark, PA is a medicare enrolled "Physician Assistant" in Powell, Wyoming. He graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Powell Valley Health Care Inc and his current practice location is 777 Avenue H, Powell Valley Healthcare Inc, Powell, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 754-3405.

Gregory P Clark is licensed to practice in Wyoming (license number 203) 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 1730170796.

Contact Information

	Gregory P Clark, PA
	777 Avenue H, Powell Valley Healthcare Inc, Powell, WY 82435
	(307) 754-3405
	(307) 754-1207

Map and Direction

Provider's Profile

Full Name	Gregory P Clark
Gender	Male
Speciality	Physician Assistant
Experience	26 Years
Location	777 Avenue H, Powell, Wyoming
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:

Gregory P Clark graduated from nursing school in 1998

NPI Data:

NPI Number: 1730170796
Provider Enumeration Date: 10/31/2005
Last Update Date: 05/13/2015

Medicare PECOS Information:

PECOS PAC ID: 4082636949
Enrollment ID: I20051220000978

Medical Identifiers

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

Identifier	Type	State	Issuer
1730170796	NPI	-	NPPES
115812100	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	203 (Wyoming)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Powell Valley Hospital	Powell, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Powell Valley Health Care Inc	5092798561	27

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. Gregory P 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
Gregory P Clark, PA 777 Avenue H, Powell, WY 82435 Ph: (307) 754-3405	Gregory P Clark, PA 777 Avenue H, Powell Valley Healthcare Inc, Powell, WY 82435 Ph: (307) 754-3405

Reviews and Comments

Physician Assistant Nurses in Powell, WY

Jana Keeler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257
Joseph Davidson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 128 N Bent St, Powell, WY 82435 Phone: 307-764-4135
Lisa M Hobby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 Mountain View St, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217
Daniel Fong Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267
Mrs. Kelly K. Simone, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-2267
Bryan Kenneth Tipton, PA-C, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Avenue H, Powell, WY 82435 Phone: 307-754-7257 Fax: 307-754-7217

Gregory P Clark, PA - Medicare Physician Assistant in Powell, WY