David Mack Clark, in Byron Center, MI - Medicare Mental Health Counselor Provider

David Mack Clark, is a medicare enrolled "Counselor - Mental Health" provider in Byron Center, Michigan. He graduated from healthcare school in 2015 and has 11 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Laureate Psychiatric Clinic And Hospital Inc and his current practice location is 1239 76th St Sw Ste H4, Byron Center, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 258-6270.

David Mack Clark is licensed to practice in Michigan (license number 6401224555) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215390265.

Contact Information

	David Mack Clark,
	1239 76th St Sw Ste H4, Byron Center, MI 49315-7921
	(616) 258-6270
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Mack Clark
Gender	Male
Speciality	Mental Health Counselor
Experience	11 Years
Location	1239 76th St Sw Ste H4, Byron Center, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

David Mack Clark graduated from medical school in 2015

NPI Data:

NPI Number: 1215390265
Provider Enumeration Date: 03/29/2016
Last Update Date: 04/01/2026

Medicare PECOS Information:

PECOS PAC ID: 7911432307
Enrollment ID: I20241121003181

Medical Identifiers

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

Identifier	Type	State	Issuer
1215390265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	6401224555 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	6401224555 (Michigan)	Primary
101YM0800X	Counselor - Mental Health	12387 (Oklahoma)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Laureate Psychiatric Clinic And Hospital Inc	3971599218	81

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. David Mack Clark allows following entities to bill medicare on his behalf.

Entity Name	Laureate Psychiatric Clinic And Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710985064 PECOS PAC ID: 3971599218 Enrollment ID: O20040422000800

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. David Mack 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
David Mack Clark, 12025 Harvest Home Dr, Lowell, MI 49331-8890 Ph: () -	David Mack Clark, 1239 76th St Sw Ste H4, Byron Center, MI 49315-7921 Ph: (616) 258-6270

Reviews and Comments

Counselor in Byron Center, MI

Lyle L. Labardee, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 7791 Byron Center Ave Sw, Byron Center, MI 49315 Phone: 616-724-6943 Fax: 888-336-9355
Amanda Nicole Walma, MA LPC Counselor Medicare: Medicare Enrolled Practice Location: 769 Sun Stone Dr Sw, Byron Center, MI 49315 Phone: 616-307-7509
Michaela Dawn Ayew-ew, LPC, PMH-C Counselor Medicare: Medicare Enrolled Practice Location: 1410 84th St Sw, Byron Center, MI 49315 Phone: 616-222-0631
Nick Vanzalen, LLPC Counselor Medicare: Medicare Enrolled Practice Location: 7791 Byron Center Ave Sw, Byron Center, MI 49315 Phone: 616-499-4711 Fax: 888-336-9355
Kelly Lynn Ibarra, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 1239 76th St Sw Ste H4, Byron Center, MI 49315 Phone: 616-258-6270
Mrs. Sharon Wassenar, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 325 84th St Sw Ste 103, Byron Center, MI 49315 Phone: 616-805-3660
Brittany Dykstra, Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 84th St Sw Ste 102, Byron Center, MI 49315 Phone: 616-805-3660 Fax: 616-805-3631

David Mack Clark, - Medicare Counselor in Byron Center, MI