Mr Kevin Lemore Clark, MHPP in Trumann, AR - Medicare Counselor Provider

Mr Kevin Lemore Clark, MHPP is a medicare enrolled "Counselor" provider in Trumann, Arkansas. His current practice location is 417 W Main St, Ste B, Trumann, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 483-7039.

Mr Kevin Lemore Clark is licensed to practice in * (Not Available) (license number ) 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 1538317482.

Contact Information

	Mr Kevin Lemore Clark, MHPP
	417 W Main St, Ste B, Trumann, AR 72472-3116
	(870) 483-7039
	(870) 483-0590

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevin Lemore Clark
Gender	Male
Speciality	Counselor
Location	417 W Main St, Trumann, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538317482
Provider Enumeration Date: 09/04/2008
Last Update Date: 09/04/2008

Medicare PECOS Information:

PECOS PAC ID: 2062855901
Enrollment ID: I20240208000590

Medical Identifiers

Medical identifiers for Mr Kevin Lemore Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538317482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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 Kevin Lemore Clark allows following entities to bill medicare on his behalf.

Entity Name	Life Strategies Of Arkansas Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700950011 PECOS PAC ID: 1658360995 Enrollment ID: O20040511000740

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 Kevin Lemore 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 Kevin Lemore Clark, MHPP 5537 Bleaux Ave, Springdale, AR 72762-0737 Ph: (479) 872-5580	Mr Kevin Lemore Clark, MHPP 417 W Main St, Ste B, Trumann, AR 72472-3116 Ph: (870) 483-7039

Reviews and Comments

Counselor in Trumann, AR

Tanika Pruitt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St, Ste B, Trumann, AR 72472 Phone: 870-483-7039
Taylor Patrick Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066
Reginald Chandler, LPC Counselor Medicare: Medicare Enrolled Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066
Mrs. Laura Jean Jumper, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 809 W Main St Ste C-d, Trumann, AR 72472 Phone: 870-483-0068 Fax: 870-483-0066
Tarsher Lofton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039
Kelton Doggett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 W Main St Ste B, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590
Symanthia Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 339 Highway 463 N, Trumann, AR 72472 Phone: 870-483-7039 Fax: 870-483-0590

Mr Kevin Lemore Clark, MHPP - Medicare Counselor in Trumann, AR