Annette M Clark, LICSW in Bryan, TX - Medicare Clinical Social Worker Provider

Annette M Clark, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Bryan, Texas. She graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Resilience Center and her current practice location is 2900 E 29th St, Bryan, Texas. You can reach out to her office (for appointments etc.) via phone at (979) 776-8400.

Annette M Clark is licensed to practice in Texas (license number 112234) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366828477.

Contact Information

	Annette M Clark, LICSW
	2900 E 29th St, Bryan, TX 77802-2622
	(979) 776-8400
	(877) 601-5854

Map and Direction

Healthcare Provider's Profile

Full Name	Annette M Clark
Gender	Female
Speciality	Clinical Social Worker
Experience	16 Years
Location	2900 E 29th St, Bryan, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Annette M Clark graduated from medical school in 2009

NPI Data:

NPI Number: 1366828477
Provider Enumeration Date: 07/31/2015
Last Update Date: 05/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1355659822
Enrollment ID: I20151002000031

Medical Identifiers

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

Identifier	Type	State	Issuer
1366828477	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	11843 (Minnesota)	Secondary
1041C0700X	Social Worker - Clinical	112234 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Resilience Center	3870993579	6

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. Annette M Clark allows following entities to bill medicare on her behalf.

Entity Name	Bluestem Center For Child And Family Development Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003868167 PECOS PAC ID: 4688639784 Enrollment ID: O20041201000078

Entity Name	Resilience Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740865146 PECOS PAC ID: 3870993579 Enrollment ID: O20210617001437

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. Annette M 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
Annette M Clark, LICSW 124 Elton Hills Ln Nw, Rochester, MN 55901-3577 Ph: (507) 282-1009	Annette M Clark, LICSW 2900 E 29th St, Bryan, TX 77802-2622 Ph: (979) 776-8400

Reviews and Comments

Social Worker in Bryan, TX

Deborah Dyjak Diaz, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2700 E 29th St Ste 325, Bryan, TX 77802 Phone: 979-704-6509 Fax: 979-821-7372
Tal Nesichi, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2900 E 29th St, Bryan, TX 77802 Phone: 979-436-0605
Wendy Mcdonald, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 207 Sulphur Springs Rd, Bryan, TX 77801 Phone: 979-846-8600 Fax: 866-214-0222
Lillian Bhattacharjee, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1304 E 31st St, Bryan, TX 77802 Phone: 601-202-2618
Laura Bauer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2490 Boonville Rd, Bryan, TX 77808 Phone: 979-703-1808
Martha Macpherson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1318 Memorial Dr, Bryan, TX 77802 Phone: 979-776-2872
Patti H Savage, LCSW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2900 E 29th St, Bryan, TX 77802 Phone: 979-774-8200 Fax: 877-601-5854

Annette M Clark, LICSW - Medicare Clinical Social Worker in Bryan, TX