Dr Johnette Elisse Clark, PHD in Atchison, KS - Medicare Clinical Psychologist Provider

Dr Johnette Elisse Clark, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Atchison, Kansas. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Guidance Center, Inc and her current practice location is 1301 N 2nd St, Atchison, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 367-1593.

Dr Johnette Elisse Clark is licensed to practice in Kansas (license number LP 1021) 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 1801963137.

Contact Information

	Dr Johnette Elisse Clark, PHD
	1301 N 2nd St, Atchison, KS 66002-1202
	(913) 367-1593
	(913) 367-1627

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Johnette Elisse Clark
Gender	Female
Speciality	Clinical Psychologist
Experience	28 Years
Location	1301 N 2nd St, Atchison, Kansas
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 Johnette Elisse Clark graduated from medical school in 1996

NPI Data:

NPI Number: 1801963137
Provider Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4688682313
Enrollment ID: I20060322000515

Medical Identifiers

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

Identifier	Type	State	Issuer
1801963137	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC2200X	Psychologist - Clinical Child & Adolescent	LP 1021 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Guidance Center, Inc	6507859063	13

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 Johnette Elisse Clark allows following entities to bill medicare on her behalf.

Entity Name	The Guidance Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841262839 PECOS PAC ID: 6507859063 Enrollment ID: O20040408000528

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 Johnette Elisse 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 Johnette Elisse Clark, PHD 130 Su Terra Dr, Atchison, KS 66002-1023 Ph: (913) 367-2824	Dr Johnette Elisse Clark, PHD 1301 N 2nd St, Atchison, KS 66002-1202 Ph: (913) 367-1593

Reviews and Comments

Psychologist in Atchison, KS

Mark Tolmachoff, LMLP Psychologist Medicare: Medicare Enrolled Practice Location: 201 Main St, Atchison, KS 66002 Phone: 913-367-1593
Mrs. Mandy Kay Uhler, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1301 N 2nd, Atchison, KS 66002 Phone: 913-367-4045 Fax: 913-367-5394
Mr. Kerry Allan Marvin, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 Parallel St, Atchison, KS 66002 Phone: 913-367-5419 Fax: 913-367-6178
Peggy L Libel, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1301 N 2nd St, Atchison, KS 66002 Phone: 913-367-1593 Fax: 913-367-1627
Nickolas Macaluso, LPC Psychologist Medicare: Accepting Medicare Assignments Practice Location: 201 Main St, Atchison, KS 66002 Phone: 913-367-1593 Fax: 913-367-1627
Mrs. Elizabeth Lynn Gilbert, LMLP, LMAC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1412 N 2nd St, Atchison, KS 66002 Phone: 913-367-4879
Jason R Wells, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1301 N 2nd St, Atchison, KS 66002 Phone: 913-367-1593 Fax: 913-367-1627

Dr Johnette Elisse Clark, PHD - Medicare Psychologist in Atchison, KS