Candace Clark, PCC in Berea, OH - Medicare Mental Health Counselor Provider

Candace Clark, PCC is a medicare enrolled "Counselor - Professional" provider in Berea, Ohio. She graduated from healthcare school in 2007 and has 18 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Phoenix Counseling Center Llc and her current practice location is 202 East Bagley Road, Berea, Ohio. You can reach out to her office (for appointments etc.) via phone at (800) 234-2006.

Candace Clark is licensed to practice in Ohio (license number E.0600652) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1629327101.

Contact Information

	Candace Clark, PCC
	202 East Bagley Road, Berea, OH 44017-2058
	(800) 234-2006
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Candace Clark
Gender	Female
Speciality	Mental Health Counselor
Experience	18 Years
Location	202 East Bagley Road, Berea, Ohio
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Candace Clark graduated from medical school in 2007

NPI Data:

NPI Number: 1629327101
Provider Enumeration Date: 08/30/2012
Last Update Date: 08/30/2012

Medicare PECOS Information:

PECOS PAC ID: 5890134753
Enrollment ID: I20240411004747

Medical Identifiers

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

Identifier	Type	State	Issuer
1629327101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.0600652 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phoenix Counseling Center Llc	3577902451	3

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

Entity Name	Phoenix Counseling Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801309141 PECOS PAC ID: 3577902451 Enrollment ID: O20240412000370

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. Candace 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
Candace Clark, PCC 202 East Bagley Road, Berea, OH 44017-2058 Ph: (800) 234-2006	Candace Clark, PCC 202 East Bagley Road, Berea, OH 44017-2058 Ph: (800) 234-2006

Reviews and Comments

Counselor in Berea, OH

Samantha Radel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 589 W Bagley Rd, Berea, OH 44017 Phone: 216-202-0702
Chloe Todd, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 398 W Bagley Rd Ste 13, Berea, OH 44017 Phone: 440-970-3790 Fax: 440-527-8043
Nicole Zarobila, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 800-234-2006
John Maxwell Mccarty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 216-502-7982 Fax: 440-234-0787
Andrew K Rohde, LMFT, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 398 W Bagley Rd Ste 13, Berea, OH 44017 Phone: 440-970-3790 Fax: 440-527-8043
Kaylyn Gimbel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 W Bagley Rd Unit 216, Berea, OH 44017 Phone: 216-340-0011
Allison Apel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 E Bagley Rd, Berea, OH 44017 Phone: 800-234-2006

Candace Clark, PCC - Medicare Counselor in Berea, OH