Melissa Clark, is a
Community Health Worker based in Klawock, Alaska. Melissa Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
6340 G Street, Klawock, Alaska. She can be reached at her office (for appointments etc.) via phone at
(502) 226-0663.
NPI number for Melissa Clark is 1538762794 and her current mailing address is 721 Stedman St, Ketchikan, Alaska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538762794.
Healthcare Provider's Profile
| Full Name | Melissa Clark |
|---|
| Gender | Female |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 6340 G Street, Klawock, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538762794
- Provider Enumeration Date: 11/19/2020
- Last Update Date: 02/09/2021
Medical Identifiers
Medical identifiers for Melissa Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538762794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
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. Melissa Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Melissa Clark,
721 Stedman St,
Ketchikan, AK 99901-6632
Ph: (907) 225-7825 | Melissa Clark,
6340 G Street,
Klawock, AK 99925
Ph: (502) 226-0663 |
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