Jan Fisher Clark, LPC in Chubbuck, ID - Medicare Counselor Provider

Jan Fisher Clark, LPC is a medicare enrolled "Counselor - Professional" provider in Chubbuck, Idaho. Her current practice location is 265 E Chubbuck Rd, Chubbuck, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 237-1711.

Jan Fisher Clark is licensed to practice in Idaho (license number LPC-8452) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548927379.

Contact Information

	Jan Fisher Clark, LPC
	265 E Chubbuck Rd, Chubbuck, ID 83202-5055
	(208) 237-1711
	(208) 237-9806

Map and Direction

Healthcare Provider's Profile

Full Name	Jan Fisher Clark
Gender	Female
Speciality	Counselor - Professional
Location	265 E Chubbuck Rd, Chubbuck, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548927379
Provider Enumeration Date: 11/29/2021
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 3870937451
Enrollment ID: I20240222001571

Medical Identifiers

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

Identifier	Type	State	Issuer
1548927379	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-8452 (Idaho)	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. Jan Fisher Clark allows following entities to bill medicare on her behalf.

Entity Name	Center Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104374974 PECOS PAC ID: 6709165442 Enrollment ID: O20161121000205

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. Jan Fisher 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
Jan Fisher Clark, LPC 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 Ph: (208) 237-1711	Jan Fisher Clark, LPC 265 E Chubbuck Rd, Chubbuck, ID 83202-5055 Ph: (208) 237-1711

Reviews and Comments

Counselor in Chubbuck, ID

Lavon Marie Cole, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806
Nancy Bentley, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 265 E Chubbuck Road, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-9806
David Averill, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4460 Kings Way Ste 2, Chubbuck, ID 83202 Phone: 208-237-1711 Fax: 208-237-5192
Sara Stengel, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 387 Chesapeake Ave, Chubbuck, ID 83202 Phone: 208-352-6486
Jade Letourneau, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 E Chubbuck Rd, Chubbuck, ID 83202 Phone: 208-237-1711
Laurie Yates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd, Ste 3b, Chubbuck, ID 83202 Phone: 208-238-2120
Ashley Bringhurst, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 4856 Brookstone St, Chubbuck, ID 83202 Phone: 208-709-0033

Jan Fisher Clark, LPC - Medicare Counselor in Chubbuck, ID