Phyllis Susan Clark, MSW in Steamboat Springs, CO - Medicare Social Worker Provider

Phyllis Susan Clark, MSW is a medicare enrolled "Social Worker - Clinical" provider in Steamboat Springs, Colorado. Her current practice location is 407 S Lincoln Ave, Steamboat Springs, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 879-2141.

Phyllis Susan Clark is licensed to practice in Colorado (license number CSW.00000022) 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 1679539076.

Contact Information

	Phyllis Susan Clark, MSW
	407 S Lincoln Ave, Steamboat Springs, CO 80487-8907
	(970) 879-2141
	(970) 879-7912

Map and Direction

Healthcare Provider's Profile

Full Name	Phyllis Susan Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	407 S Lincoln Ave, Steamboat Springs, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679539076
Provider Enumeration Date: 04/25/2006
Last Update Date: 07/25/2019

Medicare PECOS Information:

PECOS PAC ID: 2062496151
Enrollment ID: I20040616000522

Medical Identifiers

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

Identifier	Type	State	Issuer
1679539076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW.00000022 (Colorado)	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. Phyllis Susan Clark allows following entities to bill medicare on her behalf.

Entity Name	Colorado West Regional Mental Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992708176 PECOS PAC ID: 8628977329 Enrollment ID: O20031231000654

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. Phyllis Susan 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
Phyllis Susan Clark, MSW 715 Horizon Dr Ste 225, Grand Junction, CO 81506-8743 Ph: (970) 683-7131	Phyllis Susan Clark, MSW 407 S Lincoln Ave, Steamboat Springs, CO 80487-8907 Ph: (970) 879-2141

Reviews and Comments

Social Worker in Steamboat Springs, CO

Barbara S Philip, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 810 Lincoln Avenue, Steamboat Springs, CO 80477 Phone: 970-879-7637 Fax: 970-871-6811
Rita L Rhodes, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 S Lincoln Ave, Steamboat Springs, CO 80487 Phone: 970-879-2141 Fax: 970-879-7912
Shannon Kathryn Kline-glinski, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 407 South Lincoln Ave, Steamboat Springs, CO 80487 Phone: 970-879-2141 Fax: 970-879-7912
Alisa M Harnden, MSW LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 407 South Lincoln Ave, Steamboat Springs, CO 80487 Phone: 970-879-2141 Fax: 970-879-7912
Kari Billette, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 S Lincoln Ave, Steamboat Springs, CO 80487 Phone: 970-879-2141 Fax: 970-879-7912
Kristen Chamberlain, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 407 S Lincoln Ave, Steamboat Springs, CO 80477 Phone: 970-879-2141
Kari Lynne Ladrow, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1210 Meadowood Ln, Steamboat Springs, CO 80487 Phone: 970-846-7525

Phyllis Susan Clark, MSW - Medicare Clinical Social Worker in Steamboat Springs, CO