Miss Annie Catherine Clark, LPC in Pounding Mill, VA

Miss Annie Catherine Clark, LPC is a medicare enrolled "Counselor - Mental Health" provider in Pounding Mill, Virginia. Her current practice location is 220 Clay Dr, Pounding Mill, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 963-3606.

Miss Annie Catherine Clark is licensed to practice in Virginia (license number 0701012434) 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 1942997572.

Contact Information

	Miss Annie Catherine Clark, LPC
	220 Clay Dr, Pounding Mill, VA 24637-4320
	(276) 963-3606
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Annie Catherine Clark
Gender	Female
Speciality	Counselor - Mental Health
Location	220 Clay Dr, Pounding Mill, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942997572
Provider Enumeration Date: 04/24/2023
Last Update Date: 04/24/2023

Medicare PECOS Information:

PECOS PAC ID: 7113446238
Enrollment ID: I20250521003735

Medical Identifiers

Medical identifiers for Miss Annie Catherine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942997572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0701012434 (Virginia)	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. Miss Annie Catherine Clark allows following entities to bill medicare on her behalf.

Entity Name	Highlands Community Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396774147 PECOS PAC ID: 8123014966 Enrollment ID: O20040426000408

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. Miss Annie Catherine 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
Miss Annie Catherine Clark, LPC 220 Clay Dr, Pounding Mill, VA 24637-4320 Ph: (276) 963-3606	Miss Annie Catherine Clark, LPC 220 Clay Dr, Pounding Mill, VA 24637-4320 Ph: (276) 963-3606

Reviews and Comments

Counselor in Pounding Mill, VA

Jerry Dwayne Sturgill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606 Fax: 276-963-3747
Heather Lynch, LPC Counselor Medicare: Medicare Enrolled Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606
Ashley N Keene, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606 Fax: 276-963-3747
Mrs. Kimberly Dawn Carroll, MA Counselor Medicare: Medicare Enrolled Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606
Robin Jillian Lester, Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606
Audra Beth Brown, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 304-887-8889
Jennifer Brooke Sarver, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 220 Clay Dr, Pounding Mill, VA 24637 Phone: 276-963-3606

Miss Annie Catherine Clark, LPC - Medicare Counselor in Pounding Mill, VA