Janelle Clark, is a medicare enrolled "Psychologist - Clinical" provider in Bishop, California. She graduated from healthcare school in 2017 and has 7 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Southern Mono Health Care District and 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
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 1750409249.
Healthcare Provider's Profile
Full Name | Janelle Clark |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 7 Years |
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Location | 686 W Line St, Bishop, California |
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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:
- Janelle Clark graduated from medical school in 2017
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 |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern Mono Health Care District | 9830002401 | 65 |
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. Janelle Clark allows following entities to bill medicare on her behalf.
Entity Name | Southern Mono Health Care District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160 |
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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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