Ms Anitra M Clark, LCSW in San Leandro, CA - Medicare Social Worker Provider

Ms Anitra M Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in San Leandro, California. Her current practice location is 375 Estudillo Ave, Ste 207, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at (510) 241-2373.

Ms Anitra M Clark is licensed to practice in California (license number LCS26654) 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 1649280595.

Contact Information

	Ms Anitra M Clark, LCSW
	375 Estudillo Ave, Ste 207, San Leandro, CA 94577
	(510) 241-2373
	(614) 455-1945

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Anitra M Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	375 Estudillo Ave, Ste 207, San Leandro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649280595
Provider Enumeration Date: 08/09/2006
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 2163611120
Enrollment ID: I20110106001015

Medical Identifiers

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

Identifier	Type	State	Issuer
1649280595	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS26654 (California)	Primary
1041C0700X	Social Worker - Clinical	26654 (California)	Secondary

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

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Ms Anitra 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
Ms Anitra M Clark, LCSW 375 Estudillo Ave, Ste 207, San Leandro, CA 94577 Ph: (510) 241-2373	Ms Anitra M Clark, LCSW 375 Estudillo Ave, Ste 207, San Leandro, CA 94577 Ph: (510) 241-2373

Reviews and Comments

Social Worker in San Leandro, CA

Michael Sugarman, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15400 Foothill Blvd, San Leandro, CA 94578 Phone: 510-895-4343 Fax: 510-895-4333
Sadaya Zimmerle, L.C.S.W., MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2045 Fairmont Dr, Eden Csc, San Leandro, CA 94578 Phone: 510-667-3913 Fax: 510-667-7711
Laurie Kindel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Ariana Alcantara Ibarra, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Mr. Rodney Leon Cornist Dhati, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 Fairmont Dr, San Leandro, CA 94578 Phone: 510-667-3000
Katherine Sarah Mckenna, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444
Marie Louise Cinquino, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444

Ms Anitra M Clark, LCSW - Medicare Clinical Social Worker in San Leandro, CA