Michelle Randall Clark, LCSW in Athens, GA - Medicare Social Worker Provider

Michelle Randall Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Athens, Georgia. Her current practice location is 3320 Old Jefferson Rd Bldg 800, Athens, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 353-2990.

Michelle Randall Clark is licensed to practice in * (Not Available) (license number ) 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 1649903295.

Contact Information

	Michelle Randall Clark, LCSW
	3320 Old Jefferson Rd Bldg 800, Athens, GA 30607-1400
	(706) 353-2990
	(706) 353-2992

Map and Direction

Healthcare Provider's Profile

Full Name	Michelle Randall Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	3320 Old Jefferson Rd Bldg 800, Athens, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649903295
Provider Enumeration Date: 07/01/2022
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 8921464140
Enrollment ID: I20230515000119

Medical Identifiers

Medical identifiers for Michelle Randall Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649903295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Michelle Randall Clark allows following entities to bill medicare on her behalf.

Entity Name	University Cancer & Blood Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346343761 PECOS PAC ID: 0345293866 Enrollment ID: O20050224000694

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. Michelle Randall 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
Michelle Randall Clark, LCSW 3320 Old Jefferson Rd Bldg 800, Athens, GA 30607-1400 Ph: (706) 353-2990	Michelle Randall Clark, LCSW 3320 Old Jefferson Rd Bldg 800, Athens, GA 30607-1400 Ph: (706) 353-2990

Reviews and Comments

Social Worker in Athens, GA

Lori Whitmire, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1435 Oglethorpe Ave, Athens, GA 30606 Phone: 706-549-7755 Fax: 706-549-0428
Dr. Omar Tremayne Sims, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 455 N Lumpkin St, Athens, GA 30601 Phone: 706-369-7911 Fax: 706-208-9509
Matthew Charles Hurd, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 North Ave, Business Office, Athens, GA 30601 Phone: 706-542-9700 Fax: 706-227-7249
Shannen Faye Malutinok, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1 Huntington Rd Ste 103, Athens, GA 30606 Phone: 706-850-7041 Fax: 706-850-7042
Kiva Fisher-green, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 250 North Ave, Athens, GA 30601 Phone: 706-389-6789 Fax: 706-227-7249
Nikiki Stovall, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Gaines School Rd Ste C4, Athens, GA 30605 Phone: 706-389-9855
Ms. Bonnie G Rocker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 250 Bray St, Athens, GA 30601 Phone: 706-389-6789

Michelle Randall Clark, LCSW - Medicare Clinical Social Worker in Athens, GA