Mrs Melissa Ann Clark, MCD, CCC-SLP in Rancho Cucamonga, CA - Medicare Speech-Language Pathologist Provider

Mrs Melissa Ann Clark, MCD, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Rancho Cucamonga, California. Her current practice location is 9431 Haven Ave Ste 100, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at (818) 894-2273.

Mrs Melissa Ann Clark is licensed to practice in Arkansas (license number 1980) 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 1760546428.

Contact Information

	Mrs Melissa Ann Clark, MCD, CCC-SLP
	9431 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5879
	(818) 894-2273
	(818) 357-2505

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Melissa Ann Clark
Gender	Female
Speciality	Speech-language Pathologist
Location	9431 Haven Ave Ste 100, Rancho Cucamonga, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760546428
Provider Enumeration Date: 12/20/2006
Last Update Date: 10/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0446626642
Enrollment ID: I20221012003435

Medical Identifiers

Medical identifiers for Mrs Melissa Ann Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760546428	NPI	-	NPPES
5X321	Other	AR	BLUE CROSS BLUE SHIELD
149195721	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	1980 (Arkansas)	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. Mrs Melissa Ann Clark allows following entities to bill medicare on her behalf.

Provider Name	Slptele Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497393557 PECOS PAC ID: 5395163174 Enrollment ID: O20200910001274

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. Mrs Melissa Ann 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
Mrs Melissa Ann Clark, MCD, CCC-SLP 6320 Canoga Ave Fl 15, Woodland Hills, CA 91367-2563 Ph: (818) 894-2273	Mrs Melissa Ann Clark, MCD, CCC-SLP 9431 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5879 Ph: (818) 894-2273

Reviews and Comments

Speech-Language Pathologist in Rancho Cucamonga, CA

Miss Shannon M. Kolde, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8265 White Oak Ave, Rancho Cucamonga, CA 91730 Phone: 909-373-1641 Fax: 909-481-7765
Jayakumar Jayarajan, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11124 Donnelly St, Rancho Cucamonga, CA 91701 Phone: 909-908-1292
Ms. Patricia N Balthazor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8265 White Oak Ave, Rancho Cucamonga, CA 91730 Phone: 909-833-1969
Cathleen Patricia Barry, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8265 White Oak Ave, Rancho Cucamonga, CA 91730 Phone: 909-373-1641
Ms. Margaret Vannia Nellickal, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8265 White Oak Ave, Rancho Cucamonga, CA 91730 Phone: 909-373-1641
Leonora Monka, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7868 Milliken Ave Apt 548, Rancho Cucamonga, CA 91730 Phone: 321-438-9298
Miss Kimberly Zaragoza Estrada, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8265 White Oak Ave, Rancho Cucamonga, CA 91730 Phone: 909-373-1641 Fax: 909-481-7657

Mrs Melissa Ann Clark, MCD, CCC-SLP - Medicare Speech-Language Pathologist in Rancho Cucamonga, CA