| Mr Ryan Patrick Clark, PHYSICIAN ASSISTANT | |
|
309 W Saint Louis St, West Frankfort, IL 62896-2099 | |
| (618) 932-2200 | |
| Not Available |
| Full Name | Mr Ryan Patrick Clark |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 309 W Saint Louis St, West Frankfort, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013335496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 085005075 (Illinois) | Primary |
| 363A00000X | Physician Assistant | 2014009216 (Missouri) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm St Joseph Hospital West | Lake saint louis, MO | Hospital |
| Ssm St Joseph Health Center | Saint charles, MO | Hospital |
| Mercy Hospital Lincoln | Troy, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Of Illinois Llc | 1557533734 | 205 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ryan Patrick Clark, PHYSICIAN ASSISTANT 132 Houston St, Saint Charles, MO 63301-1620 Ph: (636) 293-2038 | Mr Ryan Patrick Clark, PHYSICIAN ASSISTANT 309 W Saint Louis St, West Frankfort, IL 62896-2099 Ph: (618) 932-2200 |
Ms. Angela H Henson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 310 West St. Louis Street, West Frankfort, IL 62896 Phone: 618-993-0404 Fax: 618-993-1717 | |
Mr. Jason Dorris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 309 W Saint Louis St Ste B, West Frankfort, IL 62896 Phone: 618-932-2200 | |
David Mason, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 | |
Alicia D Markley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2553 Ken Gray Blvd, West Frankfort, IL 62896 Phone: 618-932-3937 Fax: 618-932-2734 | |
Amy Stacey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 | |
Mr. Robert Thomas Dinga, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-937-3400 Fax: 618-997-9324 |