Michael J Clark, PT in Walla Walla, WA - Medicare Physical Therapy Provider

Michael J Clark, PT is a medicare enrolled "Physical Therapist" provider in Walla Walla, Washington. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Walla Walla Physical Therapy Center Aps and his current practice location is 275 W Tietan St, Walla Walla, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 522-0114.

Michael J Clark is licensed to practice in Washington (license number PT00005772) 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 1306849955.

Contact Information

	Michael J Clark, PT
	275 W Tietan St, Walla Walla, WA 99362-4363
	(509) 522-0114
	(509) 522-9868

Map and Direction

Healthcare Provider's Profile

Full Name	Michael J Clark
Gender	Male
Speciality	Physical Therapy
Experience	32 Years
Location	275 W Tietan St, Walla Walla, Washington
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:

Michael J Clark graduated from medical school in 1992

NPI Data:

NPI Number: 1306849955
Provider Enumeration Date: 05/27/2005
Last Update Date: 09/15/2022

Medicare PECOS Information:

PECOS PAC ID: 7810982907
Enrollment ID: I20170413002098

Medical Identifiers

Medical identifiers for Michael J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306849955	NPI	-	NPPES
650011919	Other	WA	RAILROAD MEDICARE
0766690001	Other	WA	CIGNA GOVERNMENT SERVICES
108672	Other	WA	LABOR & INDUSTRIES PROVID
8348476	Medicaid	WA
CL5823	Other	WA	REGENCE BC/BS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2569 (Oregon)	Secondary
225100000X	Physical Therapist	PT00005772 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Walla Walla Physical Therapy Center Aps	6901797190	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. Michael J Clark allows following entities to bill medicare on his behalf.

Provider Name	Walla Walla Physical Therapy Center Aps
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477574606 PECOS PAC ID: 6901797190 Enrollment ID: O20040324001688

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. Michael J 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
Michael J Clark, PT 275 W Tietan St, Walla Walla, WA 99362-4363 Ph: (509) 522-0114	Michael J Clark, PT 275 W Tietan St, Walla Walla, WA 99362-4363 Ph: (509) 522-0114

Reviews and Comments

Physical Therapist in Walla Walla, WA

Holly Ross Farnam, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 410 W Poplar St, Walla Walla, WA 99362 Phone: 509-897-2100 Fax: 509-897-5752
Sharon Ham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1313 N 13th Ave, Walla Walla, WA 99362 Phone: 509-525-3610
Bella Buzz Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 W Poplar St Ste A, Walla Walla, WA 99362 Phone: 509-540-4889
Dave Paul Barcenas, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 214 E Birch St, Suite 4, Walla Walla, WA 99362 Phone: 509-522-0114
Christen L Davidson-juhnke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1384 Havstad Dr, Walla Walla, WA 99362 Phone: 509-876-2203
Emily Stein, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1150 W Chestnut St, Walla Walla, WA 99362 Phone: 509-527-3066
Gunnar Leighton James Sjoren, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 W Tietan St, Walla Walla, WA 99362 Phone: 509-525-3720 Fax: 509-522-1593

Michael J Clark, PT - Medicare Physical Therapist in Walla Walla, WA