Martha Elaine Clark, LCPC in Calumet City, IL

Martha Elaine Clark, LCPC is a medicare enrolled "Counselor - Mental Health" provider in Calumet City, Illinois. Her current practice location is 1473 Ring Rd, Calumet City, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 862-8156.

Martha Elaine Clark is licensed to practice in Illinois (license number 178012803) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750881611.

Contact Information

	Martha Elaine Clark, LCPC
	1473 Ring Rd, Calumet City, IL 60409-5459
	(708) 862-8156
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Martha Elaine Clark
Gender	Female
Speciality	Counselor - Mental Health
Location	1473 Ring Rd, Calumet City, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750881611
Provider Enumeration Date: 02/17/2018
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4284082918
Enrollment ID: I20231118000498

Medical Identifiers

Medical identifiers for Martha Elaine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750881611	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	178012803 (Illinois)	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. Martha Elaine Clark allows following entities to bill medicare on her behalf.

Entity Name	Southlake Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031231000117

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. Martha Elaine 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
Martha Elaine Clark, LCPC 1805 Arbor Ln Apt 104, Crest Hill, IL 60403-2233 Ph: (708) 826-9094	Martha Elaine Clark, LCPC 1473 Ring Rd, Calumet City, IL 60409-5459 Ph: (708) 862-8156

Reviews and Comments

Counselor in Calumet City, IL

Ms. Laconyer Davis, MACC, LPC, NCC, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1473 Ring Rd, Great Heights Family Medicine, Calumet City, IL 60409 Phone: 312-885-2195
Elaine Smith, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 164th St, Calumet City, IL 60409 Phone: 312-388-1505
Courtney K Berry, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Park Ave Apt 706, Calumet City, IL 60409 Phone: 630-853-3181
Mrs. Sherri Lynne Swansey, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 593 Burnham Avenue, Calumet City, IL 60409 Phone: 708-832-1002 Fax: 708-832-1099
Ms. Capri Adams, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 158th Pl, Calumet City, IL 60409 Phone: 708-297-6602
Hilary R Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 157th St, Calumet City, IL 60409 Phone: 708-692-3194
Gloria Wright, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 61 Dogwood Ct, Calumet City, IL 60409 Phone: 708-849-8289

Martha Elaine Clark, LCPC - Medicare Counselor in Calumet City, IL