James William Clark, in Santa Fe Springs, CA - Medicare Clinical Social Worker Provider

James William Clark, is a medicare enrolled "Social Worker - School" provider in Santa Fe Springs, California. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 11015 Bloomfield Ave, Santa Fe Springs, California. You can reach out to his office (for appointments etc.) via phone at (562) 906-2676.

James William Clark is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093225153.

Contact Information

	James William Clark,
	11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601
	(562) 906-2676
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	James William Clark
Gender	Male
Speciality	Clinical Social Worker
Experience	6 Years
Location	11015 Bloomfield Ave, Santa Fe Springs, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

James William Clark graduated from medical school in 2020

NPI Data:

NPI Number: 1093225153
Provider Enumeration Date: 10/03/2017
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 9638510613
Enrollment ID: I20240508000908

Medical Identifiers

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

Identifier	Type	State	Issuer
1093225153	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
1041S0200X	Social Worker - School	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	11244

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. James William Clark allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. James William 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
James William Clark, 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 Ph: (562) 906-2676	James William Clark, 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 Ph: (562) 906-2676

Reviews and Comments

Social Worker in Santa Fe Springs, CA

Saskia Gonzalez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10355 Slusher Dr, Santa Fe Springs, CA 90670 Phone: 562-903-5309
Miriam Jeannette Ruiz, LCSW, CADC II Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12110 Slauson Ave Ste 16, Santa Fe Springs, CA 90670 Phone: 323-524-9347
Dr. Deborah Villanueva, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10330 Pioneer Blvd Ste 215, Santa Fe Springs, CA 90670 Phone: 310-266-2560
Sarah Beth Haney, Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 11741 Telegraph Rd Ste A-d, Santa Fe Springs, CA 90670 Phone: 562-801-0318
Esmeralda Solorzano, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11721 Telegraph Rd, Santa Fe Springs, CA 90670 Phone: 562-949-8455
Hanna Margarite Crosby, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10330 Pioneer Blvd Ste 215, Santa Fe Springs, CA 90670 Phone: 562-402-0677
Ms. Phyllis Rae Noriega, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10355 Slusher Dr, Santa Fe Springs, CA 90670 Phone: 562-903-5269 Fax: 562-944-2316

James William Clark, - Medicare Clinical Social Worker in Santa Fe Springs, CA