Ms Julie Kathleen Clark, MS, LPC, CRC, MITS in Petoskey, MI

Ms Julie Kathleen Clark, MS, LPC, CRC, MITS is a medicare enrolled "Counselor - Professional" provider in Petoskey, Michigan. Her current practice location is 220 Bay St, Petoskey, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 622-5061.

Ms Julie Kathleen Clark is licensed to practice in Michigan (license number 6401011220) 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 1164892873.

Contact Information

	Ms Julie Kathleen Clark, MS, LPC, CRC, MITS
	220 Bay St, Petoskey, MI 49770-2473
	(231) 622-5061
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Julie Kathleen Clark
Gender	Female
Speciality	Counselor - Professional
Location	220 Bay St, Petoskey, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164892873
Provider Enumeration Date: 10/07/2015
Last Update Date: 10/07/2015

Medicare PECOS Information:

PECOS PAC ID: 1254789597
Enrollment ID: I20231128001698

Medical Identifiers

Medical identifiers for Ms Julie Kathleen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164892873	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401011220 (Michigan)	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. Ms Julie Kathleen Clark allows following entities to bill medicare on her behalf.

Entity Name	Richard Kneip Phd Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20080731000086

Entity Name	Collective Impact Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083317010 PECOS PAC ID: 8527416866 Enrollment ID: O20231128001650

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. Ms Julie Kathleen 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
Ms Julie Kathleen Clark, MS, LPC, CRC, MITS 220 Bay Street, Petoskey, MI 49770 Ph: (231) 622-5061	Ms Julie Kathleen Clark, MS, LPC, CRC, MITS 220 Bay St, Petoskey, MI 49770-2473 Ph: (231) 622-5061

Reviews and Comments

Counselor in Petoskey, MI

Matthew Mckelvey, CADC-D Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511
Roy Lee Angel Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 704 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511 Fax: 231-347-5422
Mrs. Missy Sylar Merchant, LPC, CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1260 Ajijaak Ave, Petoskey, MI 49770 Phone: 231-242-1640
Marissa Sweeney, CADC-DP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2236 E Mitchell Rd # 5, Petoskey, MI 49770 Phone: 231-622-3494
Maureen Todd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 Emmet St, Petoskey, MI 49770 Phone: 231-347-5511
Mrs. Adrienne Josephine Shiels, LLMSW Counselor Medicare: Medicare Enrolled Practice Location: 2202 Mitchell Park Dr Ste 2b, Petoskey, MI 49770 Phone: 231-487-2215

Ms Julie Kathleen Clark, MS, LPC, CRC, MITS - Medicare Counselor in Petoskey, MI