Mr Benjamin Ryan Clark, LPC in Woodbridge, VA

Mr Benjamin Ryan Clark, LPC is a medicare enrolled "Counselor - Professional" provider in Woodbridge, Virginia. His current practice location is 2501 Hunter Pl Ste 202, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 940-9724.

Mr Benjamin Ryan Clark is licensed to practice in Virginia (license number 0701009769) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316527542.

Contact Information

	Mr Benjamin Ryan Clark, LPC
	2501 Hunter Pl Ste 202, Woodbridge, VA 22192-3940
	(304) 940-9724
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Benjamin Ryan Clark
Gender	Male
Speciality	Counselor - Professional
Location	2501 Hunter Pl Ste 202, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316527542
Provider Enumeration Date: 04/12/2021
Last Update Date: 04/12/2021

Medicare PECOS Information:

PECOS PAC ID: 9739538141
Enrollment ID: I20231211002870

Medical Identifiers

Medical identifiers for Mr Benjamin Ryan Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316527542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	0701009769 (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. Mr Benjamin Ryan Clark allows following entities to bill medicare on his behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20171025002417

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. Mr Benjamin Ryan 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
Mr Benjamin Ryan Clark, LPC 2950 Marsala Ct, Woodbridge, VA 22192-1605 Ph: (304) 940-9724	Mr Benjamin Ryan Clark, LPC 2501 Hunter Pl Ste 202, Woodbridge, VA 22192-3940 Ph: (304) 940-9724

Reviews and Comments

Counselor in Woodbridge, VA

Addie Mae Brown, LPC, LMFT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13000 Harbor Center Dr Ste 352, Woodbridge, VA 22192 Phone: 703-270-1017
Elizabeth Sue Wyman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4899 Prince William Pkwy, Woodbridge, VA 22192 Phone: 833-510-4357
Mr. Dekiegai Eleazer Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14786 Barksdale St, Woodbridge, VA 22193 Phone: 703-864-4561
Mr. Michael Howard Borash, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1388 Old Bridge Rd, Woodbridge, VA 22192 Phone: 800-799-1212 Fax: 703-492-7768
Ms. Megan Yvonne Hess, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1954 Opitz Blvd Ste 7, Woodbridge, VA 22191 Phone: 703-492-2924
Teresa Ann George, MA,LPC,NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2501 Hunter Pl Ste 202, Woodbridge, VA 22192 Phone: 571-365-3172
Jennifer Schalow, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4223 Dale Blvd, Woodbridge, VA 22193 Phone: 501-318-3760

Mr Benjamin Ryan Clark, LPC - Medicare Counselor in Woodbridge, VA