Lisa C Clark, in Tomah, WI - Medicare Clinical Social Worker Provider

Lisa C Clark, is a medicare enrolled "Social Worker - Clinical" provider in Tomah, Wisconsin. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mayo Clinic Health System-southwest Wisconsin Region Inc and her current practice location is 325 Butts Ave, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 372-5951.

Lisa C Clark is licensed to practice in Wisconsin (license number 8194) 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 1194888222.

Contact Information

	Lisa C Clark,
	325 Butts Ave, Tomah, WI 54660-1412
	(608) 372-5951
	(608) 372-3436

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa C Clark
Gender	Female
Speciality	Clinical Social Worker
Experience	18 Years
Location	325 Butts Ave, Tomah, Wisconsin
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:

Lisa C Clark graduated from medical school in 2006

NPI Data:

NPI Number: 1194888222
Provider Enumeration Date: 12/19/2006
Last Update Date: 11/18/2020

Medicare PECOS Information:

PECOS PAC ID: 5698934164
Enrollment ID: I20140915000918

Medical Identifiers

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

Identifier	Type	State	Issuer
1194888222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3586 (Kentucky)	Secondary
1041C0700X	Social Worker - Clinical	8194 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mayo Clinic Health System-southwest Wisconsin Region Inc	0345152443	417

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. Lisa C Clark allows following entities to bill medicare on her behalf.

Entity Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684

Entity Name	Mayo Clinic Health System-southwest Wisconsin Region Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1841278637 PECOS PAC ID: 0345152443 Enrollment ID: O20100506000523

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. Lisa C 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
Lisa C Clark, 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222	Lisa C Clark, 325 Butts Ave, Tomah, WI 54660-1412 Ph: (608) 372-5951

Reviews and Comments

Social Worker in Tomah, WI

Ms. Carolyn Rae Blackdeer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
Nicholas Taylor, LICENSED SOCIAL WORK Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
Allissa Marie Burns-gilbert, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-377-4076
Ms. Sue Ann Kuruzovich, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 East Veterans Street, Vamc Tomah, Tomah, WI 54660 Phone: 608-372-1798
Sierra Esther Phillips, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Social Work Department, Tomah, WI 54660 Phone: 608-372-3971
Mrs. Gina Rae Chmelka, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971
Hannah Von Behren, MSW, LCSW, CSAC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971

Lisa C Clark, - Medicare Clinical Social Worker in Tomah, WI