Miss Kaeleigh S Clark, - Medicare Counselor in Brooklyn, NY

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Miss Kaeleigh S Clark, is a medicare enrolled "Counselor - Mental Health" provider in Brooklyn, New York. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Access Supports For Living Inc and her current practice location is 203 Jay St Ste 501, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (347) 304-9465.

Miss Kaeleigh S Clark is licensed to practice in New York (license number 017266) 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 1437824752.

Contact Information

Miss Kaeleigh S Clark,
203 Jay St Ste 501,
Brooklyn, NY 11201-4398
(347) 304-9465
(631) 850-6900

Map and Direction


Healthcare Provider's Profile

Full NameMiss Kaeleigh S Clark
GenderFemale
SpecialityMental Health Counselor
Experience5 Years
Location203 Jay St Ste 501, Brooklyn, New York
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:
  • Miss Kaeleigh S Clark graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1437824752
  • Provider Enumeration Date: 08/09/2021
  • Last Update Date: 06/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8224505847
  • Enrollment ID: I20260430002615

Medical Identifiers

Medical identifiers for Miss Kaeleigh S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437824752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 017266 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Access Supports For Living Inc872999273041

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 Kaeleigh S Clark allows following entities to bill medicare on her behalf.
Entity NameAccess: Supports for Living Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528174976
PECOS PAC ID: 8729992730
Enrollment ID: O20031114000141
Entity NameUplift Behavioral Health PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629740410
PECOS PAC ID: 4688057086
Enrollment ID: O20260409002170

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 Kaeleigh S 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
Miss Kaeleigh S Clark,
Po Box 823,
Newburgh, NY 12551-0823

Ph: Not Available		Miss Kaeleigh S Clark,
203 Jay St Ste 501,
Brooklyn, NY 11201-4398

Ph: (347) 304-9465

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.