Annette M Clark, LICSW in Bryan, TX - Medicare Clinical Social Worker Provider

Annette M Clark, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Bryan, Texas. She went to University Of Minnesota, Duluth School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Resilience Center and her current practice location is 2900 E 29th St, Bryan, Texas. You can reach out to her office (for appointments etc.) via phone at (979) 776-8400.

Annette M Clark is licensed to practice in Texas (license number 112234) 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 1366828477.

Contact Information

	Annette M Clark, LICSW
	2900 E 29th St, Bryan, TX 77802-2622
	(979) 776-8400
	(877) 601-5854

Map and Direction

Healthcare Provider's Profile

Full Name	Annette M Clark
Gender	Female
Speciality	Clinical Social Worker
Experience	15 Years
Location	2900 E 29th St, Bryan, Texas
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:

Annette M Clark attended and graduated from University Of Minnesota, Duluth School Of Medicine in 2009

NPI Data:

NPI Number: 1366828477
Provider Enumeration Date: 07/31/2015
Last Update Date: 05/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1355659822
Enrollment ID: I20151002000031

Medical Identifiers

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

Identifier	Type	State	Issuer
1366828477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11843 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	112234 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Resilience Center	3870993579	4

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. Annette M Clark allows following entities to bill medicare on her behalf.

Entity Name	Bluestem Center For Child And Family Development Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003868167 PECOS PAC ID: 4688639784 Enrollment ID: O20041201000078

Entity Name	Resilience Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740865146 PECOS PAC ID: 3870993579 Enrollment ID: O20210617001437

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. Annette M 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
Annette M Clark, LICSW 124 Elton Hills Ln Nw, Rochester, MN 55901-3577 Ph: (507) 282-1009	Annette M Clark, LICSW 2900 E 29th St, Bryan, TX 77802-2622 Ph: (979) 776-8400

Reviews and Comments

Social Worker in Bryan, TX

Deborah Dyjak Diaz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2700 E 29th St Ste 325, Bryan, TX 77802 Phone: 979-704-6509 Fax: 979-821-7372
Tal Nesichi, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2900 E 29th St, Bryan, TX 77802 Phone: 979-436-0605
Wendy Mcdonald, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 207 Sulphur Springs Rd, Bryan, TX 77801 Phone: 979-846-8600 Fax: 866-214-0222
Lillian Bhattacharjee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1304 E 31st St, Bryan, TX 77802 Phone: 601-202-2618
Laura Bauer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2490 Boonville Rd, Bryan, TX 77808 Phone: 979-703-1808
Martha Macpherson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1318 Memorial Dr, Bryan, TX 77802 Phone: 979-776-2872
Patti H Savage, LCSW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2900 E 29th St, Bryan, TX 77802 Phone: 979-774-8200 Fax: 877-601-5854

Annette M Clark, LICSW - Medicare Clinical Social Worker in Bryan, TX