Jordan Alexander Clark, in St George, UT - Medicare Physical Therapist Provider

Jordan Alexander Clark, is a medicare enrolled "Physical Therapist" provider in St George, Utah. His current practice location is 1380 E Medical Center Dr, St George, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 251-1000.

Jordan Alexander Clark is licensed to practice in Utah (license number 9903537-2401) 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 1649772765.

Contact Information

	Jordan Alexander Clark,
	1380 E Medical Center Dr, St George, UT 84790-2123
	(435) 251-1000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Alexander Clark
Gender	Male
Speciality	Physical Therapist
Location	1380 E Medical Center Dr, St George, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649772765
Provider Enumeration Date: 03/05/2018
Last Update Date: 08/20/2019

Medicare PECOS Information:

PECOS PAC ID: 6305185620
Enrollment ID: I20190305000900

Medical Identifiers

Medical identifiers for Jordan Alexander Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649772765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	9903537-2401 (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. Jordan Alexander Clark allows following entities to bill medicare on his behalf.

Provider Name	House Call Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770037798 PECOS PAC ID: 3577850221 Enrollment ID: O20160922002232

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. Jordan 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 Address	Practice Location Address
Jordan Alexander Clark, 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: () -	Jordan Alexander Clark, 1380 E Medical Center Dr, St George, UT 84790-2123 Ph: (435) 251-1000

Reviews and Comments

Physical Therapist in St George, UT

Jed Hurst, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 652 S Medical Center Drive #ll-10, St George, UT 84790 Phone: 435-251-2250 Fax: 435-251-2255
Michael Locke Ettinger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1380 E Medical Center Dr, St George, UT 84790 Phone: 435-251-1000 Fax: 435-688-4002
Southwest Neurological Rehabilitation Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 N 200 E, 3e, St George, UT 84770 Phone: 435-628-5194
Kirk L Terry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 736 South 900 East, St George, UT 84790 Phone: 435-673-2781 Fax: 435-652-8555
Trevor W Pettingill, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 555 S Bluff St Ste 102, St George, UT 84770 Phone: 435-215-1866 Fax: 435-215-1844
Matthew Oakden, Physical Therapist Medicare: Medicare Enrolled Practice Location: 652 S Medical Center Dr Lowr Level, St George, UT 84790 Phone: 435-251-2250 Fax: 435-251-2255
Mr. Stephen Jason Tomlinson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1424 E Foremaster Dr Ste 120, St George, UT 84790 Phone: 435-656-8800 Fax: 435-627-1809

Jordan Alexander Clark, - Medicare Physical Therapist in St George, UT