Melissa Clark, 6002172 in Columbus, IN - Medicare Clinical Social Worker Provider

Melissa Clark, 6002172 is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Indiana. She went to State University Of New York At Buffalo School Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Saint Peter's Lutheran Church and her current practice location is 6141 Basswood Dr, Columbus, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 603-6827.

Melissa Clark is licensed to practice in Indiana (license number 34005724A) 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 1801967195.

Contact Information

	Melissa Clark, 6002172
	6141 Basswood Dr, Columbus, IN 47201-8431
	(812) 603-6827
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa Clark
Gender	Female
Speciality	Clinical Social Worker
Experience	28 Years
Location	6141 Basswood Dr, Columbus, Indiana
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:

Melissa Clark attended and graduated from State University Of New York At Buffalo School Of Medicine in 1997

NPI Data:

NPI Number: 1801967195
Provider Enumeration Date: 11/10/2006
Last Update Date: 03/30/2016

Medicare PECOS Information:

PECOS PAC ID: 5890226880
Enrollment ID: I20241001003335

Medical Identifiers

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

Identifier	Type	State	Issuer
1801967195	NPI	-	NPPES
6002172	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C003571 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	34005724A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Saint Peter's Lutheran Church	8224579818	5

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

Entity Name	Saint Peter's Lutheran Church
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477800373 PECOS PAC ID: 8224579818 Enrollment ID: O20240930001788

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. Melissa 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
Melissa Clark, 6002172 719 5th St, Columbus, IN 47201-6306 Ph: (812) 372-1571	Melissa Clark, 6002172 6141 Basswood Dr, Columbus, IN 47201-8431 Ph: (812) 603-6827

Reviews and Comments

Social Worker in Columbus, IN

Marilyn Kerns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2205 Central Ave, Columbus, IN 47201 Phone: 812-375-1041
Robin Knorr, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2520 California St Ste A, Columbus, IN 47201 Phone: 812-350-5664
Mary Louise Pruett, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 720 N Marr Rd, Columbus, IN 47201 Phone: 812-314-3400
Charlotte Barton Coombs, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1531 13th St Ste 2540, Columbus, IN 47201 Phone: 812-372-3745 Fax: 812-954-0888
Reyna Navarro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1950 Doctors Park Dr, Columbus, IN 47203 Phone: 812-269-2971
Anne-marie Kirkland, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1531 13th St Ste 2540, Columbus, IN 47201 Phone: 812-372-3745 Fax: 812-954-0888
Andrea Vogel, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2400 17th St, Columbus, IN 47201 Phone: 812-376-5610 Fax: 812-376-5610

Melissa Clark, 6002172 - Medicare Clinical Social Worker in Columbus, IN