Gracia Clark, - Medicare Counselor in Hudson, WI

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Gracia Clark, is a medicare enrolled "Counselor - Professional" provider in Hudson, Wisconsin. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Group Health Plan Inc, Lakeview Memorial Hospital Association, Inc. and her current practice location is 403 Stageline Rd, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 531-6700.

Gracia Clark is licensed to practice in Wisconsin (license number 8447) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417602251.

Contact Information

Gracia Clark,
403 Stageline Rd,
Hudson, WI 54016-7848
(715) 531-6700
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameGracia Clark
GenderFemale
SpecialityMental Health Counselor
Experience7 Years
Location403 Stageline Rd, Hudson, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gracia Clark graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1417602251
  • Provider Enumeration Date: 02/21/2022
  • Last Update Date: 05/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6103269592
  • Enrollment ID: I20240213003606

Medical Identifiers

Medical identifiers for Gracia Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417602251NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 8447 (Wisconsin)Secondary
101YP2500XCounselor - Professional 8447 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Group Health Plan Inc17592939541637
Lakeview Memorial Hospital Association, Inc.195121085519

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. Gracia Clark allows following entities to bill medicare on her behalf.
Entity NameHudson Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396849303
PECOS PAC ID: 0648183061
Enrollment ID: O20031121000807
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031223000493
Entity NameAmery Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20040131000207
Entity NameSt. Croix Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20040205000217
Entity NameWestfields Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881640183
PECOS PAC ID: 2264490960
Enrollment ID: O20090122000350

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. Gracia 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 AddressPractice Location Address
Gracia Clark,
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -		Gracia Clark,
403 Stageline Rd,
Hudson, WI 54016-7848

Ph: (715) 531-6700

Reviews and Comments


Counselor in Hudson, WI

Brittany Iczkowski, LPCC, LADC, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 522 2nd Street #102, Hudson, WI 54016
Phone: 715-204-9840    
Rochelle K Anderson, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2910 Enloe St Ste 100, Hudson, WI 54016
Phone: 715-381-5437    Fax: 715-381-5438
Ms. Joan N Fuller, MA, LPC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 901 4th St, Suite 160, Hudson, WI 54016
Phone: 763-210-9966    Fax: 763-210-6886
Renee L. Vannocker, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2910 Enloe St, Ste 100, Hudson, WI 54016
Phone: 715-381-5437    Fax: 715-381-5438
Anastazia Acker, M.S.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 690 Elizabeth Way Apt 226, Hudson, WI 54016
Phone: 612-293-8830    
Ms. Amanda Rose Lemay, LPCC, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 901 Dominion Dr, Hudson, WI 54016
Phone: 715-808-8070    
Daniel Patrick Jordan,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 900 Crest View Dr Ste 120, Hudson, WI 54016
Phone: 651-292-2434    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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