Jodie M Clark, LSW in Wheat Ridge, CO - Medicare Social Worker Provider

Jodie M Clark, LSW is a medicare enrolled "Social Worker - Clinical" provider in Wheat Ridge, Colorado. Her current practice location is 3895 Upham St Ste 100, Wheat Ridge, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 500-5055.

Jodie M Clark is licensed to practice in Colorado (license number 886707529) 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 1366184046.

Contact Information

	Jodie M Clark, LSW
	3895 Upham St Ste 100, Wheat Ridge, CO 80033-4651
	(303) 500-5055
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jodie M Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	3895 Upham St Ste 100, Wheat Ridge, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366184046
Provider Enumeration Date: 04/12/2022
Last Update Date: 04/12/2022

Medicare PECOS Information:

PECOS PAC ID: 8628455532
Enrollment ID: I20220516001174

Medical Identifiers

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

Identifier	Type	State	Issuer
1366184046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	886707529 (Colorado)	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. Jodie M Clark allows following entities to bill medicare on her behalf.

Entity Name	Envision Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003282567 PECOS PAC ID: 6507175213 Enrollment ID: O20170113000269

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. Jodie 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
Jodie M Clark, LSW 6782 E Briarwood Dr, Centennial, CO 80112-1156 Ph: (602) 819-1842	Jodie M Clark, LSW 3895 Upham St Ste 100, Wheat Ridge, CO 80033-4651 Ph: (303) 500-5055

Reviews and Comments

Social Worker in Wheat Ridge, CO

Claudette M Hertner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3210 Lutheran Pkwy, Wheat Ridge, CO 80033 Phone: 303-425-8000 Fax: 303-467-4925
Mary Catherine Ross, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Independence St, Wheat Ridge, CO 80033 Phone: 303-425-0300
Stacey Spence, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Independence St, Wheat Ridge, CO 80033 Phone: 303-425-0300
Tiffany Freer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Independence St, 200, Wheat Ridge, CO 80033 Phone: 303-425-0300 Fax: 303-432-5071
Rachelle Danielle Stroh, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4851 Independence St, Wheat Ridge, CO 80033 Phone: 303-425-0300
Jordan Narissa Moilanen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4891 Independence St Ste 165, Wheat Ridge, CO 80033 Phone: 303-456-0660
Mrs. Laura Madeline Thibault, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2955 Xenon St, Wheat Ridge, CO 80215 Phone: 254-722-3651

Jodie M Clark, LSW - Medicare Clinical Social Worker in Wheat Ridge, CO