Stephanie J Clark, in Lancaster, CA - Medicare Marriage And Family Therapist Provider

Stephanie J Clark, is a medicare enrolled "Marriage & Family Therapist" provider in Lancaster, California. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Real Road Inc and her current practice location is 921 W Avenue J Ste C, Lancaster, California. You can reach out to her office (for appointments etc.) via phone at (661) 949-0131.

Stephanie J Clark is licensed to practice in California (license number LMFT121955) 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 1033621768.

Contact Information

	Stephanie J Clark,
	921 W Avenue J Ste C, Lancaster, CA 93534
	(661) 949-0131
	(661) 729-8912

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie J Clark
Gender	Female
Speciality	Marriage And Family Therapist
Experience	8 Years
Location	921 W Avenue J Ste C, Lancaster, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie J Clark graduated from medical school in 2017

NPI Data:

NPI Number: 1033621768
Provider Enumeration Date: 11/03/2017
Last Update Date: 09/29/2020

Medicare PECOS Information:

PECOS PAC ID: 9436685534
Enrollment ID: I20241212003240

Medical Identifiers

Medical identifiers for Stephanie J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033621768	NPI	-	NPPES
1508206838	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	AMFT99619 (California)	Secondary
106H00000X	Marriage & Family Therapist	LMFT121955 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Real Road Inc	1052858396	7

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. Stephanie J Clark allows following entities to bill medicare on her behalf.

Entity Name	Real Road Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134688674 PECOS PAC ID: 1052858396 Enrollment ID: O20240803000460

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. Stephanie J 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
Stephanie J Clark, 921 W Avenue J Ste C, Lancaster, CA 93534-3443 Ph: (661) 949-0131	Stephanie J Clark, 921 W Avenue J Ste C, Lancaster, CA 93534 Ph: (661) 949-0131

Reviews and Comments

Marriage & Family Therapist in Lancaster, CA

Ms. Yojanne Blanco, M.A Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 43520 Division Street, Lancaster, CA 93535 Phone: 661-274-0770 Fax: 661-274-9970
Teresa Burbach, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 44847 Sierra Hwy, Lancaster, CA 93534 Phone: 661-510-8625
Mr. Robert Lewis Berger, IMF Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 921 W. Ave. J Suite C, Lancaster, CA 93534 Phone: 661-949-0131 Fax: 661-729-8912
Bianca Martinez, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 815 W Lancaster Blvd Ste 115, Lancaster, CA 93534 Phone: 661-903-8822
Ms. Swanhilda Rosaura Ochoa, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 44285 Lowtree Ave, Lancaster, CA 93534 Phone: 661-341-3900
Stephanie Curiel, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 415 E Ave I., Lancaster, CA 93535 Phone: 661-522-6770
Kelly Gatewood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 44421 10th St W Ste 1, Lancaster, CA 93534 Phone: 818-996-1051

Stephanie J Clark, - Medicare Couples Therapy in Lancaster, CA