Marianne Clark, PSYD in Mount Laurel, NJ - Medicare Psychologist Provider

Marianne Clark, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mount Laurel, New Jersey. Her current practice location is 3804 Church Rd, Mount Laurel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (862) 219-1125.

Marianne Clark is licensed to practice in New Jersey (license number SI00357800) 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 1235109299.

Contact Information

	Marianne Clark, PSYD
	3804 Church Rd, Mount Laurel, NJ 08054-1106
	(862) 219-1125
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marianne Clark
Gender	Female
Speciality	Psychologist - Clinical
Location	3804 Church Rd, Mount Laurel, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235109299
Provider Enumeration Date: 01/24/2006
Last Update Date: 10/24/2019

Medicare PECOS Information:

PECOS PAC ID: 5395088744
Enrollment ID: I20190528001781

Medical Identifiers

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

Identifier	Type	State	Issuer
1235109299	NPI	-	NPPES
7819307	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	SI00357800 (New Jersey)	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. Marianne Clark allows following entities to bill medicare on her behalf.

Entity Name	Advocare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217

Entity Name	Senior Care Therapy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285898098 PECOS PAC ID: 0547335366 Enrollment ID: O20080813000563

Entity Name	Marianne Clark Psyd Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063057610 PECOS PAC ID: 3173996899 Enrollment ID: O20230228002406

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. Marianne 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
Marianne Clark, PSYD 3804 Church Rd, Mount Laurel, NJ 08054-1106 Ph: (862) 219-1125	Marianne Clark, PSYD 3804 Church Rd, Mount Laurel, NJ 08054-1106 Ph: (862) 219-1125

Reviews and Comments

Psychologist in Mount Laurel, NJ

Dr. Jared Michael Scherz, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 108 Fairway Ter, Mount Laurel, NJ 08054 Phone: 856-787-7150 Fax: 856-787-1521
Dr. Morris Ehrenberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3804 Church Rd, Mount Laurel, NJ 08054 Phone: 856-778-7560 Fax: 856-857-0360
Craig W Pearl, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3804 Church Rd, Mount Laurel, NJ 08054 Phone: 856-778-2100 Fax: 856-787-9588
Dr. Swati Marner, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 302 Birchfield Dr, Mount Laurel, NJ 08054 Phone: 267-587-7492
Dr. Betsy Ellen Fernbach, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1155 Route 73, Ramblewood Center, Suite 18, Mount Laurel, NJ 08054 Phone: 856-273-0789
Dr. Theresa Rose Wright, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3747 Church Rd, Suite 100, Mount Laurel, NJ 08054 Phone: 609-504-4118
Dr. Tishanna Majette, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3000 Atrium Way, Mount Laurel, NJ 08054 Phone: 856-522-3123

Marianne Clark, PSYD - Medicare Psychologist in Mount Laurel, NJ