Madeline Grace Clark, is a medicare enrolled "Speech-language Pathologist" provider in Brookeland, Texas. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. Her current practice location is
3989 Fm 1007, Brookeland, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 332-3298.
Madeline Grace Clark is licensed to practice in Texas (license number 123565) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1568179299.
Healthcare Provider's Profile
| Full Name | Madeline Grace Clark |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 1 Years |
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| Location | 3989 Fm 1007, Brookeland, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Madeline Grace Clark graduated from medical school in 2025
NPI Data:
- NPI Number: 1568179299
- Provider Enumeration Date: 11/02/2022
- Last Update Date: 02/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 5890276372
- Enrollment ID: I20260223002780
Medical Identifiers
Medical identifiers for Madeline Grace Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568179299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 123565 (Texas) | 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. Madeline Grace Clark allows following entities to bill medicare on her behalf.
| Provider Name | Allee Therapy LLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1194354548
PECOS PAC ID: 6305277344
Enrollment ID: O20220825003573 |
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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. Madeline Grace 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 |
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Madeline Grace Clark,
3989 Fm 1007,
Brookeland, TX 75931-4673
Ph: (936) 332-3298 | Madeline Grace Clark,
3989 Fm 1007,
Brookeland, TX 75931-4673
Ph: (936) 332-3298 |
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