Dr Daryle L Clark, OD in Gillette, WY - Medicare Optometry Provider

Dr Daryle L Clark, OD is a medicare enrolled "Optometrist" provider in Gillette, Wyoming. He went to Pacific University - College Of Optometry and graduated in 1990 and has 34 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eye Care Associates Of Wyoming, P.c. and his current practice location is 312 E Lakeway Rd, Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 687-7353.

Dr Daryle L Clark is licensed to practice in Wyoming (license number 191T) 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 1205820081.

Contact Information

	Dr Daryle L Clark, OD
	312 E Lakeway Rd, Gillette, WY 82718-6329
	(307) 687-7353
	(307) 686-1052

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Daryle L Clark
Gender	Male
Speciality	Optometry
Experience	34 Years
Location	312 E Lakeway Rd, Gillette, 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:

Dr Daryle L Clark attended and graduated from Pacific University - College Of Optometry in 1990

NPI Data:

NPI Number: 1205820081
Provider Enumeration Date: 09/07/2005
Last Update Date: 12/05/2015

Medicare PECOS Information:

PECOS PAC ID: 2365503604
Enrollment ID: I20081205000243

Medical Identifiers

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

Identifier	Type	State	Issuer
1205820081	NPI	-	NPPES
104289100	Medicaid	WY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	191T (Wyoming)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eye Care Associates Of Wyoming, P.c.	8921169269	2

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. Dr Daryle L Clark allows following entities to bill medicare on his behalf.

Provider Name	Eye Care Associates Of Wyoming, P.c.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528210515 PECOS PAC ID: 8921169269 Enrollment ID: O20081205000224

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. Dr Daryle 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
Dr Daryle L Clark, OD 312 E Lakeway Rd, Gillette, WY 82718-6329 Ph: (307) 686-2010	Dr Daryle L Clark, OD 312 E Lakeway Rd, Gillette, WY 82718-6329 Ph: (307) 687-7353

Reviews and Comments

Optometrist in Gillette, WY

Dr. Joseph Leonard Fischer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 609 4j Ct, Gillette, WY 82716 Phone: 307-682-2020 Fax: 307-682-5656
Carla Deann Shoults, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3107 Goldenrod Ave, Gillette, WY 82716 Phone: 307-689-5798
Dr. Sarah Lynn Koehn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 312 E Lakeway Rd, Gillette, WY 82718 Phone: 307-686-8199 Fax: 307-686-1052
Dr. Joseph C Maycock, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 609 4j Ct, Gillette, WY 82716 Phone: 307-682-2020 Fax: 307-682-5656
Michael K. Hughes, O. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1103 E. Boxelder Rd., Suite F, Gillette, WY 82718 Phone: 307-682-2747 Fax: 307-686-9984
Bruce Gordon Johnson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2610 South Douglas Highway, Suite 190, Gillette, WY 82718 Phone: 307-682-7861

Dr Daryle L Clark, OD - Medicare Optometrist in Gillette, WY