Michael A Clark, LCSW in Carthage, MO - Medicare Social Worker Provider

Michael A Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Carthage, Missouri. His current practice location is 327 E Airport Dr, Carthage, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 237-0604.

Michael A Clark is licensed to practice in Missouri (license number 2022033941) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639958481.

Contact Information

	Michael A Clark, LCSW
	327 E Airport Dr, Carthage, MO 64836-3402
	(417) 237-0604
	(417) 237-0613

Map and Direction

Healthcare Provider's Profile

Full Name	Michael A Clark
Gender	Male
Speciality	Social Worker - Clinical
Location	327 E Airport Dr, Carthage, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639958481
Provider Enumeration Date: 09/21/2023
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 3779937313
Enrollment ID: I20230929002375

Medical Identifiers

Medical identifiers for Michael A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639958481	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2022033941 (Missouri)	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. Michael A Clark allows following entities to bill medicare on his behalf.

Entity Name	Sgoh Acquisition Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114924768 PECOS PAC ID: 5092616276 Enrollment ID: O20040205000647

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. Michael A 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
Michael A Clark, LCSW 327 E Airport Dr, Carthage, MO 64836-3402 Ph: (417) 237-0604	Michael A Clark, LCSW 327 E Airport Dr, Carthage, MO 64836-3402 Ph: (417) 237-0604

Reviews and Comments

Social Worker in Carthage, MO

Mrs. Melinda Sue Burchfield, MSW,LCSW, IBCLC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1515 Hazel St, Carthage, MO 64836 Phone: 417-358-0188 Fax: 417-358-0189
Raymond Houston Jr., MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2411 Fairlawn Drive, Carthage, MO 64836 Phone: 417-388-9872
Ruth Andrea West, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3071 S Grand Ave, Carthage, MO 64836 Phone: 417-358-4811
Caroline R Charlton, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1632 Missouri Ave, Carthage, MO 64836 Phone: 417-358-7728
Jannette Eldred, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 South Case Steet, Carthage, MO 64836 Phone: 417-358-7728 Fax: 417-358-1629
Ms. Pamela D. Smith, M.S.W., L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2405 Fairlawn Dr, Carthage, MO 64836 Phone: 417-359-8093 Fax: 417-359-8094
Earl L Kirn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2411 Fairlawn Ave, Carthage, MO 64836 Phone: 417-359-8093 Fax: 417-359-8094

Michael A Clark, LCSW - Medicare Clinical Social Worker in Carthage, MO