Clarence Austin Church Iii, LMHC in Farmington, NM

Clarence Austin Church Iii, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Farmington, New Mexico. His current practice location is 2901 E 20th St, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 326-0241.

Clarence Austin Church Iii is licensed to practice in New Mexico (license number CTL0222201) 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 1871235655.

Contact Information

	Clarence Austin Church Iii, LMHC
	2901 E 20th St, Farmington, NM 87402-4411
	(505) 326-0241
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clarence Austin Church Iii
Gender	Male
Speciality	Counselor - Mental Health
Location	2901 E 20th St, Farmington, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871235655
Provider Enumeration Date: 04/11/2022
Last Update Date: 04/11/2022

Medicare PECOS Information:

PECOS PAC ID: 4385095561
Enrollment ID: I20240111004885

Medical Identifiers

Medical identifiers for Clarence Austin Church Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871235655	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CTL0222201 (New Mexico)	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. Clarence Austin Church Iii allows following entities to bill medicare on his behalf.

Entity Name	Alii Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285107698 PECOS PAC ID: 4486984549 Enrollment ID: O20191002003639

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. Clarence Austin Church Iii 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
Clarence Austin Church Iii, LMHC 74 Road 3900, Farmington, NM 87401-3203 Ph: (719) 502-1366	Clarence Austin Church Iii, LMHC 2901 E 20th St, Farmington, NM 87402-4411 Ph: (505) 326-0241

Reviews and Comments

Counselor in Farmington, NM

Ms. Linda M. Link, MA LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Airport Dr Ste 220, Farmington, NM 87401 Phone: 505-326-5807 Fax: 505-326-4708
Betty Lou Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway Ste D, Farmington, NM 87401 Phone: 505-327-4796
Deborah Jean Robinson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 N Butler Ave Ste 220, Farmington, NM 87401 Phone: 505-860-5529
Stephanie J Benally, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1615 Ojo Court, Farmington, NM 87401 Phone: 505-564-4804
Marc S. Broadway, B.A., SAA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2011 Troy King Rd Trlr 10, Farmington, NM 87401 Phone: 505-566-0336
Sandra Lou Ki, Counselor Medicare: Not Enrolled in Medicare Practice Location: 406 Airport Dr, Farmington, NM 87401 Phone: 505-325-5358 Fax: 505-564-8368
Daphnie Cummins, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-326-9157

Clarence Austin Church Iii, LMHC - Medicare Counselor in Farmington, NM