Dr Clarence Carl Wilson, DBH, LPCC - Medicare Counselor in Colton, CA

Dr Clarence Carl Wilson, DBH, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Colton, California. His current practice location is 851 S Mount Vernon Ave Ste 7a, Colton, California. You can reach out to his office (for appointments etc.) via phone at (760) 241-6044.

Dr Clarence Carl Wilson is licensed to practice in California (license number 2784) 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 1033496245.

Contact Information

Dr Clarence Carl Wilson, DBH, LPCC
851 S Mount Vernon Ave Ste 7a,
Colton, CA 92324-3926
(760) 241-6044
(760) 820-2704

Map and Direction


Healthcare Provider's Profile

Full NameDr Clarence Carl Wilson
GenderMale
SpecialityCounselor - Mental Health
Location851 S Mount Vernon Ave Ste 7a, Colton, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033496245
  • Provider Enumeration Date: 11/16/2011
  • Last Update Date: 01/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3577915222
  • Enrollment ID: I20240206000670

Medical Identifiers

Medical identifiers for Dr Clarence Carl Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033496245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) RA8320316 (California)Secondary
101YM0800XCounselor - Mental Health 074006 (Iowa)Secondary
101YM0800XCounselor - Mental Health 2011031159 (Missouri)Secondary
101YP2500XCounselor - Professional 2784 (California)Secondary
101YM0800XCounselor - Mental Health 2784 (California)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 Clarence Carl Wilson allows following entities to bill medicare on his behalf.
Entity NameCovenant Counseling
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164967527
PECOS PAC ID: 2668824319
Enrollment ID: O20240117004850

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 Clarence Carl Wilson 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 Clarence Carl Wilson, DBH, LPCC
851 S Mount Vernon Ave Ste 7a,
Colton, CA 92324-3926

Ph: (760) 241-6044
Dr Clarence Carl Wilson, DBH, LPCC
851 S Mount Vernon Ave Ste 7a,
Colton, CA 92324-3926

Ph: (760) 241-6044

Reviews and Comments


Counselor in Colton, CA

Ms. Judith A Tate, LSW
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1330 E Cooley Dr, Colton, CA 92324
Phone: 909-580-3705    Fax: 909-803-3747
Maria Lugo, BA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1430 E Cooley Dr Ste 240, Colton, CA 92324
Phone: 909-433-0445    
Mr. Paul William Klier,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1076 Santo Antono, Suite B, Colton, CA 92342
Phone: 909-433-9824    Fax: 909-433-9830
Miss Jessica Estrada, RECOVERY WORKER
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2275 E Cooley Dr, Colton, CA 92324
Phone: 909-370-1777    Fax: 909-370-1776
Katie Wiseman,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1461 E Cooley Dr Ste 100, Colton, CA 92324
Phone: 877-527-7227    
Nicole Shaver,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 23950 Prado Ln, Colton, CA 92324
Phone: 909-514-1958    
Sandra Hernandez-chavez, LMFT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1461 E Cooley Dr Ste 100, Colton, CA 92324
Phone: 877-527-7227    

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.