Melissa I Clark, MSW, LICSW in Two Harbors, MN - Medicare Social Worker Provider

Melissa I Clark, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Two Harbors, Minnesota. Her current practice location is 325 11th Ave, Two Harbors, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 834-5520.

Melissa I Clark is licensed to practice in Minnesota (license number 29218) 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 1275300303.

Contact Information

	Melissa I Clark, MSW, LICSW
	325 11th Ave, Two Harbors, MN 55616-1300
	(218) 834-5520
	(218) 834-4264

Map and Direction

Healthcare Provider's Profile

Full Name	Melissa I Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	325 11th Ave, Two Harbors, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275300303
Provider Enumeration Date: 12/08/2023
Last Update Date: 12/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2062862899
Enrollment ID: I20231220001360

Medical Identifiers

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

Identifier	Type	State	Issuer
1275300303	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	29218 (Minnesota)	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. Melissa I Clark allows following entities to bill medicare on her behalf.

Entity Name	Human Development Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194790733 PECOS PAC ID: 2961485909 Enrollment ID: O20040610000602

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. Melissa I 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
Melissa I Clark, MSW, LICSW 1401 East 1st Street, Duluth, MN 55805-2407 Ph: (218) 728-4491	Melissa I Clark, MSW, LICSW 325 11th Ave, Two Harbors, MN 55616-1300 Ph: (218) 834-5520

Reviews and Comments

Social Worker in Two Harbors, MN

Evan Hans Toonstra, LGSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 7th St, Two Harbors, MN 55616 Phone: 218-834-6005 Fax: 218-595-1004
Ms. Christine Mari Oliver-kneebone, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 115 7th St, Two Harbors, MN 55616 Phone: 218-834-6005 Fax: 218-834-6005
Ms. Debra Rae Ellison, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 325 11th Ave, Two Harbors, MN 55616 Phone: 218-834-5520 Fax: 218-834-4264
Lynn A Whalen, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 325 11th Ave, Two Harbors, MN 55616 Phone: 218-834-5520 Fax: 218-834-4264
Abigail Marie Lingwall, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 325 11th Ave, Two Harbors, MN 55616 Phone: 218-834-5520 Fax: 218-834-4264
Shana Lea Roberts, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 325 11th Ave, Two Harbors, MN 55616 Phone: 218-834-5520 Fax: 218-834-4264

Melissa I Clark, MSW, LICSW - Medicare Clinical Social Worker in Two Harbors, MN