Stephen Clark, PHD in Little Rock, AR - Medicare Clinical Psychologist Provider

Stephen Clark, PHD is a medicare enrolled "Psychologist" provider in Little Rock, Arkansas. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Living Hope Southeast, Llc and his current practice location is 10025 W. Markham Street, Ste 210, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 663-4673.

Stephen Clark is licensed to practice in Arkansas (license number 99-07P) 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 1003095415.

Contact Information

	Stephen Clark, PHD
	10025 W. Markham Street, Ste 210, Little Rock, AR 72205-2178
	(501) 663-4673
	(501) 801-1816

Map and Direction

Healthcare Provider's Profile

Full Name	Stephen Clark
Gender	Male
Speciality	Clinical Psychologist
Experience	46 Years
Location	10025 W. Markham Street, Little Rock, 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:

Stephen Clark graduated from medical school in 1978

NPI Data:

NPI Number: 1003095415
Provider Enumeration Date: 11/01/2007
Last Update Date: 08/25/2022

Medicare PECOS Information:

PECOS PAC ID: 0143296236
Enrollment ID: I20040909000688

Medical Identifiers

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

Identifier	Type	State	Issuer
1003095415	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	99-07P (Arkansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Living Hope Southeast, Llc	3072605831	9

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. Stephen Clark allows following entities to bill medicare on his behalf.

Entity Name	Living Hope Southeast, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689877862 PECOS PAC ID: 3072605831 Enrollment ID: O20070823001023

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. Stephen 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
Stephen Clark, PHD 10025 W. Markham Street, Ste 210, Little Rock, AR 72205-2178 Ph: (501) 663-4673	Stephen Clark, PHD 10025 W. Markham Street, Ste 210, Little Rock, AR 72205-2178 Ph: (501) 663-4673

Reviews and Comments

Psychologist in Little Rock, AR

Mark Edwards, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 Marshall St # 653, Little Rock, AR 72202 Phone: 501-364-1100
Larry Clarke, PH.D. (PSYCHOLOGIST) Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11219 Financial Centre Pkwy, Suite 310, Little Rock, AR 72211 Phone: 501-224-8393 Fax: 501-224-2849
Mrs. Zenobia Carter, M.S. LPE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5905 Forest Pl, Little Rock, AR 72207 Phone: 501-666-8686 Fax: 501-660-6838
Brittani Baldwin Gracey, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 305 S Palm St, Little Rock, AR 72205 Phone: 507-686-9000
Laura Goodhart, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1301 Wolfe St, Little Rock, AR 72202 Phone: 501-372-2768 Fax: 501-978-6492
Frances Kristine Ketz, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 108 N Shackleford Rd, Little Rock, AR 72211 Phone: 501-346-8116

Stephen Clark, PHD - Medicare Psychologist in Little Rock, AR