Dr Alicia Clark, in Sheridan, WY - Medicare Clinical Psychologist Provider

Dr Alicia Clark, is a medicare enrolled "Psychologist - Clinical" provider in Sheridan, Wyoming. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Big Horn Psychological Services Lc and her current practice location is 339 W Loucks St, Sheridan, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 674-4462.

Dr Alicia Clark is licensed to practice in Wyoming (license number 438) 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 1134216690.

Contact Information

	Dr Alicia Clark,
	339 W Loucks St, Sheridan, WY 82801-4121
	(307) 674-4462
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Alicia Clark
Gender	Female
Speciality	Clinical Psychologist
Experience	19 Years
Location	339 W Loucks St, Sheridan, Wyoming
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 Alicia Clark graduated from medical school in 2005

NPI Data:

NPI Number: 1134216690
Provider Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799888061
Enrollment ID: I20070307000537

Medical Identifiers

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

Identifier	Type	State	Issuer
1134216690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	438 (Wyoming)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Big Horn Psychological Services Lc	3375788839	4

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 Alicia Clark allows following entities to bill medicare on her behalf.

Entity Name	Big Horn Psychological Services Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336473859 PECOS PAC ID: 3375788839 Enrollment ID: O20130404000150

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 Alicia 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 Alicia Clark, 8 S Fork Dr, Sheridan, WY 82801-8813 Ph: () -	Dr Alicia Clark, 339 W Loucks St, Sheridan, WY 82801-4121 Ph: (307) 674-4462

Reviews and Comments

Psychologist in Sheridan, WY

Eric R. Askins, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1408 Odell Ct Unit C, Sheridan, WY 82801 Phone: 307-672-4689 Fax: 307-672-2469
Dr. Grant Griffin Boostrom, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd # 116b, Sheridan, WY 82801 Phone: 307-675-3834
Dr. Kaitlyn Camilla Card, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd, Sheridan, WY 82801 Phone: 307-675-3816
Dr. Len Aaron Dannhaus, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd, Sheridan, WY 82801 Phone: 307-675-7151
Dr. Jeffrey P. Clark, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 339 W Loucks St, Sheridan, WY 82801 Phone: 307-674-4462 Fax: 307-674-4552
James William Wyssmann, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1949 Sugarland Dr Ste 218, Sheridan, WY 82801 Phone: 307-752-0677 Fax: 307-674-1825
Dr. Kurt P Benson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Road, Sheridan Va Medical Center, Sheridan, WY 82807 Phone: 307-675-3349

Dr Alicia Clark, - Medicare Psychologist in Sheridan, WY