Dr Autumn Clark, DO in Springfield, MO

Dr Autumn Clark, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Springfield, Missouri. She went to University Of New England, College Of Osteo Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Advocates For A Healthy Community Inc and her current practice location is 1965 S Fremont Ave, Suite 330, Springfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (417) 820-8180.

Dr Autumn Clark is licensed to practice in Missouri (license number 2010017178) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912911090.

Contact Information

	Dr Autumn Clark, DO
	1965 S Fremont Ave, Suite 330, Springfield, MO 65804-2201
	(417) 820-8180
	(417) 820-8183

Map and Direction

Physician's Profile

Full Name	Dr Autumn Clark
Gender	Female
Speciality	Psychiatry
Experience	22 Years
Location	1965 S Fremont Ave, Springfield, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Autumn Clark attended and graduated from University Of New England, College Of Osteo Medicine in 2002

NPI Data:

NPI Number: 1912911090
Provider Enumeration Date: 07/27/2006
Last Update Date: 05/02/2013

Medicare PECOS Information:

PECOS PAC ID: 6103950415
Enrollment ID: I20100820001116

Medical Identifiers

Medical identifiers for Dr Autumn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912911090	NPI	-	NPPES
1912911090	Medicaid	MO
P00852000	Other	MO	RAILROAD MEDICARE #
183130003	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	0102201521 (Virginia)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	2010017178 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advocates For A Healthy Community Inc	5395653562	32

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 Autumn Clark allows following entities to bill medicare on her behalf.

Entity Name	Advocates For A Healthy Community Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558303057 PECOS PAC ID: 5395653562 Enrollment ID: O20041109000631

Entity Name	Novus Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013533181 PECOS PAC ID: 3779901756 Enrollment ID: O20200909000336

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 Autumn 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
Dr Autumn Clark, DO Po Box 2580, Springfield, MO 65801-2580 Ph: (417) 829-4620	Dr Autumn Clark, DO 1965 S Fremont Ave, Suite 330, Springfield, MO 65804-2201 Ph: (417) 820-8180

Reviews and Comments

Psychiatry & Neurology Doctors in Springfield, MO

Dr. Jayaprabha Vijaykumar Lafontaine, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011
Dr. Charles Alan Thomas, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011
Rohit Saha, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011
Balkozar S Adam, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-761-5000 Fax: 417-761-5011
Papaiah Sreepada, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3801 S National Ave, Suite 900, Springfield, MO 65807 Phone: 417-875-3000
Dr. Dennis P. Dobard Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1721 W Elfindale Street, Springfield, MO 65807 Phone: 417-708-9089 Fax: 417-708-9089
Lilian Casupang, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-269-5400 Fax: 417-269-7212

Dr Autumn Clark, DO - Medicare Psychiatry in Springfield, MO