Dr Laurel Maxyne Clark, MD in Chicago, IL

Dr Laurel Maxyne Clark, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Chicago, Illinois. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2009 and has 15 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Ozark Center and her current practice location is 1653 W Congress Pkwy, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 942-5495.

Dr Laurel Maxyne Clark is licensed to practice in Illinois (license number 125.056468) 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 1205064011.

Contact Information

	Dr Laurel Maxyne Clark, MD
	1653 W Congress Pkwy, Chicago, IL 60612-3833
	(312) 942-5495
	(312) 942-5727

Map and Direction

Physician's Profile

Full Name	Dr Laurel Maxyne Clark
Gender	Female
Speciality	Psychiatry
Experience	15 Years
Location	1653 W Congress Pkwy, Chicago, Illinois
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 Laurel Maxyne Clark attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2009

NPI Data:

NPI Number: 1205064011
Provider Enumeration Date: 06/30/2009
Last Update Date: 01/11/2013

Medicare PECOS Information:

PECOS PAC ID: 5991937880
Enrollment ID: I20190129002330

Medical Identifiers

Medical identifiers for Dr Laurel Maxyne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205064011	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	125.056468 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ozark Center	4789588088	42

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 Laurel Maxyne Clark allows following entities to bill medicare on her behalf.

Entity Name	Ozark Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790796878 PECOS PAC ID: 4789588088 Enrollment ID: O20050223000110

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 Laurel Maxyne 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 Laurel Maxyne Clark, MD 6926 N Lakewood Ave, 2nd Floor, Chicago, IL 60626-3712 Ph: (312) 659-3625	Dr Laurel Maxyne Clark, MD 1653 W Congress Pkwy, Chicago, IL 60612-3833 Ph: (312) 942-5495

Reviews and Comments

Psychiatry & Neurology Doctors in Chicago, IL

Andrea Catalina Pardo, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave # 51, Chicago, IL 60611 Phone: 312-227-3550
Moanis Karam Hilmy Bastawrous, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3003 Green Bay Road, Chicago, IL 60064 Phone: 347-228-8628
Fernando Espi Forcen, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2150w Harrison St, Chicago, IL 60612 Phone: 312-942-5375
Bernadette Mari Schoneburg, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17 25 West Harrison Street, Professional Building I Suite 1106, Chicago, IL 60612 Phone: 312-942-5000
Dr. Neepa J Patel, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 755, Chicago, IL 60612 Phone: 312-563-2030 Fax: 312-563-2024
Dr. Marley Ann Doyle, M/D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Galter 3-150, C, Chicago, IL 60611 Phone: 312-926-6895
Dr. David Eugene Klein, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 259 E Erie St Fl 19, Chicago, IL 60611 Phone: 312-695-7950 Fax: 312-695-5747

Dr Laurel Maxyne Clark, MD - Medicare Psychiatry in Chicago, IL