Janelle Clark, is a medicare enrolled "Psychologist - Clinical" provider in Bishop, California. Her current practice location is
686 W Line St, Bishop, California. You can reach out to her office (for appointments etc.) via phone at
(805) 570-9375.
Janelle Clark is licensed to practice in California (license number 30993) 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 1750409249.
Healthcare Provider's Profile
| Full Name | Janelle Clark |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 686 W Line St, Bishop, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750409249
- Provider Enumeration Date: 03/26/2007
- Last Update Date: 04/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880026525
- Enrollment ID: I20191118001826
Medical Identifiers
Medical identifiers for Janelle Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750409249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 52043 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 30993 (California) | Primary |
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. Janelle 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 |
Janelle Clark, Po Box 823, Bishop, CA 93515-0823 Ph: (805) 570-3750 | Janelle Clark, 686 W Line St, Bishop, CA 93514-3315 Ph: (805) 570-9375 |
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