Gilbert Clark, in Cadillac, MI - Medicare Counselor Provider

Gilbert Clark, is a medicare enrolled "Counselor - Professional" provider in Cadillac, Michigan. His current practice location is 520 Cobb St, Cadillac, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 775-6521.

Gilbert Clark is licensed to practice in Minnesota (license number 02015) 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 1982072765.

Contact Information

	Gilbert Clark,
	520 Cobb St, Cadillac, MI 49601-2588
	(231) 775-6521
	(231) 775-1366

Map and Direction

Healthcare Provider's Profile

Full Name	Gilbert Clark
Gender	Male
Speciality	Counselor - Professional
Location	520 Cobb St, Cadillac, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982072765
Provider Enumeration Date: 09/10/2015
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 4981052214
Enrollment ID: I20231128001636

Medical Identifiers

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

Identifier	Type	State	Issuer
1982072765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	2-01085 (Michigan)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	303944 (Minnesota)	Secondary
101YP2500X	Counselor - Professional	02015 (Minnesota)	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. Gilbert Clark allows following entities to bill medicare on his behalf.

Entity Name	Baldwin Family Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689783698 PECOS PAC ID: 1153215413 Enrollment ID: O20040209001155

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. Gilbert 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
Gilbert Clark, 520 Cobb St, Cadillac, MI 49601-2588 Ph: (231) 876-6527	Gilbert Clark, 520 Cobb St, Cadillac, MI 49601-2588 Ph: (231) 775-6521

Reviews and Comments

Counselor in Cadillac, MI

Sarah Hubbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 Cobb St, Cadillac, MI 49601 Phone: 231-876-3248 Fax: 231-775-1692
Pamela L Wizner-randazzo, MA, LPC, CAADC Counselor Medicare: Medicare Enrolled Practice Location: 520 Cobb St, Cadillac, MI 49601 Phone: 231-775-6521 Fax: 231-775-1366
Steven G. Wheeler, LMSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2721 Sunnyside Dr, Suite B, Cadillac, MI 49601 Phone: 231-468-2550 Fax: 231-468-2596
Mrs. Milinda Kaye Cuddeback, LPC Counselor Medicare: Medicare Enrolled Practice Location: 805 S Carmel St, Cadillac, MI 49601 Phone: 231-775-6517
Mr. Steve W Loring, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 E Harris St, Cadillac, MI 49601 Phone: 231-920-8389 Fax: 231-775-8142
Patrick James Aron, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 N Mitchell St, Cadillac, MI 49601 Phone: 231-468-2550
Mathew Paul Abend, Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 Cobb St, Cadillac, MI 49601 Phone: 231-775-3463

Gilbert Clark, - Medicare Counselor in Cadillac, MI