Dr Amizetta Carol Clark, MD in Saint Helena, CA

Dr Amizetta Carol Clark, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Saint Helena, California. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice St. Helena Hospital and her current practice location is 10 Woodland Rd, Saint Helena, California. You can reach out to her office (for appointments etc.) via phone at (707) 963-3611.

Dr Amizetta Carol Clark is licensed to practice in California (license number A175677) 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 1841646353.

Contact Information

	Dr Amizetta Carol Clark, MD
	10 Woodland Rd, Saint Helena, CA 94574-9554
	(707) 963-3611
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Amizetta Carol Clark
Gender	Female
Speciality	Psychiatry
Experience	11 Years
Location	10 Woodland Rd, Saint Helena, 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:

Dr Amizetta Carol Clark graduated from medical school in 2015

NPI Data:

NPI Number: 1841646353
Provider Enumeration Date: 05/13/2016
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5496048183
Enrollment ID: I20220913002973

Medical Identifiers

Medical identifiers for Dr Amizetta Carol Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841646353	NPI	-	NPPES
A175677	Other	CA	MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A175677 (California)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	A175677 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health St Helena	Saint helena, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Helena Hospital	8729059878	70

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. Dr Amizetta Carol Clark allows following entities to bill medicare on her behalf.

Entity Name	Adventist Health St. Helena Ob/gyn
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932176146 PECOS PAC ID: 9234038209 Enrollment ID: O20040108000320

Entity Name	St. Helena Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720078082 PECOS PAC ID: 8729059878 Enrollment ID: O20040803001176

Entity Name	Adventist Health Clearlake Hospital Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124018031 PECOS PAC ID: 3072421197 Enrollment ID: O20041112000573

Entity Name	Adventist Health Physicians Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633

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. Dr Amizetta Carol 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
Dr Amizetta Carol Clark, MD 10 Woodland Rd, Saint Helena, CA 94574-9554 Ph: (808) 287-8496	Dr Amizetta Carol Clark, MD 10 Woodland Rd, Saint Helena, CA 94574-9554 Ph: (707) 963-3611

Reviews and Comments

Psychiatry & Neurology Doctors in Saint Helena, CA

Dr. Natasa Bratislav Dragicevic, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6 Woodland Rd Ste 304, Saint Helena, CA 94574 Phone: 707-963-8860 Fax: 707-963-8861
Dr. Cynthia A Janes, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-6270
Amy E Wallace, MD, MPH Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-6270
Stephen R Greenberg, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-3611
Jose Mathews, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10 Woodland Rd, Saint Helena, CA 94574 Phone: 707-963-3611
Dr. Melody M. Kim, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6 Woodland Rd, Suite 302, Saint Helena, CA 94574 Phone: 707-963-8802 Fax: 707-963-6328
Dr. Bradley Benjamin Nichinson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 999 Adams St, Suite 300, Saint Helena, CA 94574 Phone: 707-481-8790

Dr Amizetta Carol Clark, MD - Medicare Psychiatry in Saint Helena, CA