Miss Tayler Simone Clark, LCSW in Shorewood, WI - Medicare Social Worker Provider

Miss Tayler Simone Clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Shorewood, Wisconsin. Her current practice location is 4465 N Oakland Ave Unit 310, Shorewood, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 775-3278.

Miss Tayler Simone Clark is licensed to practice in Wisconsin (license number 9047-123) 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 1982132817.

Contact Information

	Miss Tayler Simone Clark, LCSW
	4465 N Oakland Ave Unit 310, Shorewood, WI 53211-1662
	(414) 775-3278
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Tayler Simone Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	4465 N Oakland Ave Unit 310, Shorewood, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982132817
Provider Enumeration Date: 05/23/2017
Last Update Date: 04/01/2021

Medicare PECOS Information:

PECOS PAC ID: 9234479643
Enrollment ID: I20190321002245

Medical Identifiers

Medical identifiers for Miss Tayler Simone Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982132817	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	9047-123 (Wisconsin)	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. Miss Tayler Simone Clark allows following entities to bill medicare on her behalf.

Entity Name	Kenosha Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265435960 PECOS PAC ID: 0941195168 Enrollment ID: O20040217000840

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. Miss Tayler Simone 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
Miss Tayler Simone Clark, LCSW 3034 S Wentworth Ave, Milwaukee, WI 53207-3017 Ph: (608) 213-9869	Miss Tayler Simone Clark, LCSW 4465 N Oakland Ave Unit 310, Shorewood, WI 53211-1662 Ph: (414) 775-3278

Reviews and Comments

Social Worker in Shorewood, WI

Shalonda Renee Leflore, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4465 N Oakland Ave Unit 110, Shorewood, WI 53211 Phone: 414-899-0111
Ms. Mary Ellen Gerber, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4465 N Oakland Ave, Shorewood, WI 53211 Phone: 414-460-7753
Mrs. Nancy Lee Hornby, MSW, CICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3970 N Oakland Ave, Shorewood, WI 53211 Phone: 414-332-9096
Virginia D. Stocker, VIRGINIA STOCKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3970 N Oakland Ave, #502, Shorewood, WI 53211 Phone: 414-332-2548
Ivaylo Hristov, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4465 N Oakland Ave Unit 310, Shorewood, WI 53211 Phone: 530-574-6855 Fax: 414-755-7772
Sarah Elizabeth Brill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4433 N Oakland Ave Ste D, Shorewood, WI 53211 Phone: 414-906-1445 Fax: 414-906-1445
Ms. Sandra P Blaies, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4465 N Oakland Ave, Shorewood, WI 53211 Phone: 414-964-8980

Miss Tayler Simone Clark, LCSW - Medicare Clinical Social Worker in Shorewood, WI