Mr Randolph Laird Clark, MSW, LCSW in Brownsburg, IN

Mr Randolph Laird Clark, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brownsburg, Indiana. His current practice location is 554 Pit Rd, Brownsburg, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 742-9400.

Mr Randolph Laird Clark is licensed to practice in Indiana (license number 34007681A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245665363.

Contact Information

	Mr Randolph Laird Clark, MSW, LCSW
	554 Pit Rd, Brownsburg, IN 46112-9555
	(317) 742-9400
	(317) 742-9414

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Randolph Laird Clark
Gender	Male
Speciality	Social Worker - Clinical
Location	554 Pit Rd, Brownsburg, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245665363
Provider Enumeration Date: 09/09/2013
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 2365727187
Enrollment ID: I20170317001323

Medical Identifiers

Medical identifiers for Mr Randolph Laird Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245665363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34007681A (Indiana)	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. Mr Randolph Laird Clark allows following entities to bill medicare on his behalf.

Entity Name	Cummins Behavioral Health Systems Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740232115 PECOS PAC ID: 1850296302 Enrollment ID: O20031206000039

Entity Name	Rediscover Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306689138 PECOS PAC ID: 9436673167 Enrollment ID: O20250403002321

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. Mr Randolph Laird 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
Mr Randolph Laird Clark, MSW, LCSW 554 Pit Rd, Brownsburg, IN 46112-9555 Ph: (317) 742-9400	Mr Randolph Laird Clark, MSW, LCSW 554 Pit Rd, Brownsburg, IN 46112-9555 Ph: (317) 742-9400

Reviews and Comments

Social Worker in Brownsburg, IN

Abby Mcneely, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6114 Flagler Ln, Brownsburg, IN 46112 Phone: 317-619-8964
Lexus Ouellette, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 N Green Street, Suite 402, Brownsburg, IN 46112 Phone: 317-852-3690 Fax: 317-852-2766
Allison Louise Reilly, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 557 Pit Rd, Brownsburg, IN 46112 Phone: 317-793-8931
Jill Emmons, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 36 South Green St., Brownsburg, IN 46112 Phone: 317-286-3221
Kassondra Simon, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 515 N. Green Street, Suite 402, Brownsburg, IN 46112 Phone: 317-852-3690 Fax: 317-852-3766
Deidre Knop, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7230 Arbuckle Cmns, Brownsburg, IN 46112 Phone: 317-456-2487

Mr Randolph Laird Clark, MSW, LCSW - Medicare Clinical Social Worker in Brownsburg, IN