Elizabeth Anne Clark, - Medicare Psychologist in West Haven, CT

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Elizabeth Anne Clark, is a medicare enrolled "Psychologist - Clinical" provider in West Haven, Connecticut. Her current practice location is 950 Campbell Ave, West Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 932-5711.

Elizabeth Anne Clark is licensed to practice in Connecticut (license number 003240) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073019527.

Contact Information

Elizabeth Anne Clark,
950 Campbell Ave,
West Haven, CT 06516-2770
(203) 932-5711
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameElizabeth Anne Clark
GenderFemale
SpecialityPsychologist - Clinical
Location950 Campbell Ave, West Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073019527
  • Provider Enumeration Date: 04/03/2018
  • Last Update Date: 04/03/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8426434812
  • Enrollment ID: I20221010000170

Medical Identifiers

Medical identifiers for Elizabeth Anne Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073019527NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral 003240 (Connecticut)Secondary
103TH0004XPsychologist - Health 003240 (Connecticut)Secondary
103TC0700XPsychologist - Clinical 003240 (Connecticut)Primary

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. Elizabeth Anne Clark allows following entities to bill medicare on her behalf.
Entity NameBayside Psychology And Consulting Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639637432
PECOS PAC ID: 1850728858
Enrollment ID: O20200304002015

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. Elizabeth Anne 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
Elizabeth Anne Clark,
24 W Prospect St,
New Haven, CT 06515-1607

Ph: (203) 903-7870		Elizabeth Anne Clark,
950 Campbell Ave,
West Haven, CT 06516-2770

Ph: (203) 932-5711

Reviews and Comments


Psychologist in West Haven, CT

Dr. Joshua Stephen Bullock, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 114 Boston Post Rd, 2nd Floor, West Haven, CT 06516
Phone: 203-479-8000    Fax: 203-479-8001
Nicholas Andrew Vissicchio, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 950 Campbell Ave, West Haven, CT 06516
Phone: 203-932-5711    
Dr. James Poling, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: West Haven Va - Bldg. 36, 950 Campbell Ave., West Haven, CT 06516
Phone: 203-937-4830    Fax: 203-937-3478
Dr. Meaghan Stacy, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 950 Campbell Ave, Psychology Department, West Haven, CT 06516
Phone: 203-932-5711    
Dr. Sarah Meshberg-cohen, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 950 Campbell Ave, West Haven, CT 06516
Phone: 203-527-2403    
Ann-marie Raphail, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 950 Campbell Ave, West Haven, CT 06516
Phone: 203-932-5711    
Dr. Michael Awad,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 950 Campbell Ave, West Haven, CT 06516
Phone: 203-932-5711    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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