Ms Kimberly Sue Clark, QMHP - Medicare Counselor in Klamath Falls, OR

Ms Kimberly Sue Clark, QMHP is a medicare enrolled "Counselor" provider in Klamath Falls, Oregon. Her current practice location is 905 Main St Ste 512, Klamath Falls, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 591-9392.

Ms Kimberly Sue Clark is licensed to practice in Oregon (license number R6418) 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 1508210915.

Contact Information

Ms Kimberly Sue Clark, QMHP
905 Main St Ste 512,
Klamath Falls, OR 97601-6062
(541) 591-9392
(541) 833-0934

Map and Direction


Healthcare Provider's Profile

Full NameMs Kimberly Sue Clark
GenderFemale
SpecialityCounselor
Location905 Main St Ste 512, Klamath Falls, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508210915
  • Provider Enumeration Date: 04/21/2016
  • Last Update Date: 03/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395197198
  • Enrollment ID: I20240117002555

Medical Identifiers

Medical identifiers for Ms Kimberly Sue Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508210915NPI-NPPES
1114058898MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 17-04-02 (Oregon)Secondary
101Y00000XCounselor R6418 (Oregon)Primary
101Y00000XCounselor (* (Not Available))Secondary

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. Ms Kimberly Sue 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 AddressPractice Location Address
Ms Kimberly Sue Clark, QMHP
1500 Addison St,
Klamath Falls, OR 97601-2504

Ph: (541) 591-9392
Ms Kimberly Sue Clark, QMHP
905 Main St Ste 512,
Klamath Falls, OR 97601-6062

Ph: (541) 591-9392

Reviews and Comments


Counselor in Klamath Falls, OR

Mrs. Brittania Nicole Welch,
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Phone: 541-883-1030    Fax: 541-884-2338
Misty Watts,
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Phone: 541-883-1030    Fax: 541-884-2338
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Phone: 541-883-3471    Fax: 541-883-3524
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Phone: 541-883-1030    
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Phone: 713-203-3744    
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Phone: 541-883-1030    Fax: 541-884-2338
Krystal Lynn Henderson, CCMA, CPHT, QMHA-R
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Practice Location: 2555 Main St, Klamath Falls, OR 97601
Phone: 541-883-2795    Fax: 541-883-8194

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.