Dr Shane Alexander Clark, OD - Medicare Optometrist in Rapid City, SD

Dr Shane Alexander Clark, OD is a medicare enrolled "Optometrist" provider in Rapid City, South Dakota. He went to Southern College Of Optometry and graduated in 2011 and has 13 years of diverse experience with area of expertise as Optometry. His current practice location is 5734 Sheridan Lake Rd, Suite 202, Rapid City, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 342-0258.

Dr Shane Alexander Clark is licensed to practice in South Dakota (license number 725) 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 1437446440.

Contact Information

Dr Shane Alexander Clark, OD
5734 Sheridan Lake Rd, Suite 202,
Rapid City, SD 57702-8811
(605) 342-0258
(605) 342-0209

Map and Direction




Healthcare Provider's Profile

Full NameDr Shane Alexander Clark
GenderMale
SpecialityOptometry
Experience13 Years
Location5734 Sheridan Lake Rd, Rapid City, South Dakota
Accepts Medicare AssignmentsYes. 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 Shane Alexander Clark attended and graduated from Southern College Of Optometry in 2011
  NPI Data:
  • NPI Number: 1437446440
  • Provider Enumeration Date: 06/29/2011
  • Last Update Date: 08/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2264600394
  • Enrollment ID: I20160711002093

Medical Identifiers

Medical identifiers for Dr Shane Alexander Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437446440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 725 (South Dakota)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. Dr Shane Alexander Clark allows following entities to bill medicare on his behalf.
Provider NameInfinity Eyecare Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306202700
PECOS PAC ID: 4183916299
Enrollment ID: O20160711001984

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 Shane Alexander 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 AddressPractice Location Address
Dr Shane Alexander Clark, OD
3027 Roxbury Cir,
Rapid City, SD 57702-5301

Ph: (816) 853-9407
Dr Shane Alexander Clark, OD
5734 Sheridan Lake Rd, Suite 202,
Rapid City, SD 57702-8811

Ph: (605) 342-0258

Reviews and Comments


Optometrist in Rapid City, SD

Dr. Gaylene R. Kudrna, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2020 Jackson Blvd, Suite 1, Rapid City, SD 57702
Phone: 605-342-0777    Fax: 605-342-7282
Cary S. Feldman,
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 808 Mount Rushmore Rd, Rapid City, SD 57701
Phone: 605-719-9489    
Dr. Megan Renee Rotella, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2200 N Maple Ave, Attn: Jcpenney Optical, Rapid City, SD 57701
Phone: 605-341-7832    Fax: 605-399-9319
Ross English,
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 925 Eglin St, Rapid City, SD 57701
Phone: 605-342-1213    
Eye Works, Inc.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 685 Mountain View Rd, Rapid City, SD 57702
Phone: 605-718-7550    
Dr. Jess Moser, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2800 3rd St, Rapid City, SD 57701
Phone: 605-719-3107    Fax: 605-719-3321
Dr. Jared Carl Pearson, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 318 Mount Rushmore Rd, Suite A, Rapid City, SD 57701
Phone: 605-399-3937    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.