Mark L Clark, PHD in Conway, AR - Medicare Clinical Psychologist Provider

Mark L Clark, PHD is a medicare enrolled "Psychologist" provider in Conway, Arkansas. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Conway Regional Medical Center Inc and his current practice location is 2200 Ada Ave Ste 302, Conway, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 932-0352.

Mark L Clark is licensed to practice in Arkansas (license number 89-13P) 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 1306921853.

Contact Information

	Mark L Clark, PHD
	2200 Ada Ave Ste 302, Conway, AR 72034-4985
	(501) 932-0352
	(501) 932-0354

Map and Direction

Healthcare Provider's Profile

Full Name	Mark L Clark
Gender	Male
Speciality	Clinical Psychologist
Experience	35 Years
Location	2200 Ada Ave Ste 302, Conway, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark L Clark graduated from medical school in 1989

NPI Data:

NPI Number: 1306921853
Provider Enumeration Date: 10/25/2006
Last Update Date: 05/10/2023

Medicare PECOS Information:

PECOS PAC ID: 8527967298
Enrollment ID: I20040102000233

Medical Identifiers

Medical identifiers for Mark L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306921853	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	89-13P (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Conway Regional Health System	Conway, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conway Regional Medical Center Inc	3173428414	127

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. Mark L Clark allows following entities to bill medicare on his behalf.

Entity Name	The Bridgeway Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962473306 PECOS PAC ID: 7113819376 Enrollment ID: O20040325000306

Entity Name	Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649381120 PECOS PAC ID: 3173583564 Enrollment ID: O20041011000417

Entity Name	Conway Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417024662 PECOS PAC ID: 3173428414 Enrollment ID: O20050825001031

Entity Name	Conway Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255879656 PECOS PAC ID: 3173428414 Enrollment ID: O20170403000499

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. Mark L 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
Mark L Clark, PHD 2200 Ada Ave Ste 302, Conway, AR 72034-4985 Ph: (501) 932-0352	Mark L Clark, PHD 2200 Ada Ave Ste 302, Conway, AR 72034-4985 Ph: (501) 932-0352

Reviews and Comments

Psychologist in Conway, AR

Susan Sobel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034
Mrs. Cariann M Bergner-moore, PSYD/PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1312 Donaghey Ave, Conway, AR 72034 Phone: 501-358-6606
Wendi Elliott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034
Kimberly Ann Callaway Gentry, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-358-6396
Susan E Schaefer, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572
Sarah Lindeman Root, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Bob Courtway Dr Ste 9, Conway, AR 72032 Phone: 501-812-4268
Ms. Samantha Sewell Short, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-291-3091 Fax: 501-588-0484

Mark L Clark, PHD - Medicare Psychologist in Conway, AR