Dr Jeffrey P Clark, PSYD - Medicare Psychologist in Sheridan, WY

Dr Jeffrey P Clark, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sheridan, Wyoming. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Big Horn Psychological Services Lc and his current practice location is 339 W Loucks St, Sheridan, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 674-4462.

Dr Jeffrey P Clark is licensed to practice in Wyoming (license number 409) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063403822.

Contact Information

Dr Jeffrey P Clark, PSYD
339 W Loucks St,
Sheridan, WY 82801-4121
(307) 674-4462
(307) 674-4552

Map and Direction




Healthcare Provider's Profile

Full NameDr Jeffrey P Clark
GenderMale
SpecialityClinical Psychologist
Experience21 Years
Location339 W Loucks St, Sheridan, Wyoming
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jeffrey P Clark graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1063403822
  • Provider Enumeration Date: 11/02/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0941303499
  • Enrollment ID: I20070321000393

Medical Identifiers

Medical identifiers for Dr Jeffrey P Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063403822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 409 (Wyoming)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Big Horn Psychological Services Lc33757888394

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 Jeffrey P Clark allows following entities to bill medicare on his behalf.
Entity NameBig Horn Psychological Services Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 Jeffrey P 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 AddressPractice Location Address
Dr Jeffrey P Clark, PSYD
1969 S Sheridan Ave,
Sheridan, WY 82801-6108

Ph: (307) 672-7481
Dr Jeffrey P Clark, PSYD
339 W Loucks St,
Sheridan, WY 82801-4121

Ph: (307) 674-4462

Reviews and Comments


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