980 IRONWOOD DR W STE 104
COEUR D' ALENE, ID 83814 US Accepts Medicare Payment
PECOS Enrolled
Overview
Randil L Clark is a Urologist in the COEUR D' ALENE area and has over 40 years of experience. Randil L Clark primary office location is at 980 IRONWOOD DR W and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of California, Irvine, California College Of Medicine and graduated 1985
Randil L Clark is affiliated with five hospitals in the COEUR D' ALENE area, including BENEWAH COMMUNITY HOSPITAL. The NPI number is 1205961182 and the information was updated approximately 13 years ago.
Randil L Clark is affiliated with one medical group in the COEUR D' ALENE area, NORTH IDAHO UROLOGY PLLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Yes
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| M-5699 | ID |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 002667200 | ID |
| Taxonomy | State | Primary? |
|---|---|---|
| Urologist - Taxonomy Code 208800000X | ID | Y |
Quality Reporting:
|
Accepts Medicare Assignment:
Yes If a provider accepts Medicare Assignment, he or she will accept the approved Medicare payment and will not bill for more than the Medicare deductible or coinsurance.If 'maybe' is listed here, the provider might bill you for more than the Medicare amount. |
| Participates in the Medicare Electronic Health Records(EHR) program by using a certified EHR technology: No |
| Participates in PQRS reporting quality measures to Medicare as part of an incentive -for-reporting program: No |
| Participated in the Medicare Maintenance of Certification Program. A "Maintenance of Certification Program" encourages board certified physicians to continue learning and self-evaluating throughout their medical career.: No |
| Committed to heart health through the Million Hearts� initiative. encourages health care professionals to report and perform well on activities related to heart health in an effort to prevent heart attacks and strokes.: No |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20090407000147 |
| PECOS Individual PAC ID: | 1153422894 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
Internal Medicine Physicians in Nearby Cities
The numbers count the providers that list Internal Medicine Physician as their Primary Taxonomy.
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indicates nearby providers with referral data.
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