Mr Grant David Clarke, LCSW in Fullerton, CA - Medicare Social Worker Provider

Mr Grant David Clarke, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fullerton, California. His current practice location is 140 E Commonwealth Ave Ste 101, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 773-4111.

Mr Grant David Clarke is licensed to practice in California (license number LCS24617) 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 1689812265.

Contact Information

	Mr Grant David Clarke, LCSW
	140 E Commonwealth Ave Ste 101, Fullerton, CA 92832-1905
	(714) 773-4111
	(714) 773-4222

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Grant David Clarke
Gender	Male
Speciality	Social Worker - Clinical
Location	140 E Commonwealth Ave Ste 101, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689812265
Provider Enumeration Date: 02/04/2009
Last Update Date: 07/28/2020

Medicare PECOS Information:

PECOS PAC ID: 2062756893
Enrollment ID: I20181205003325

Medical Identifiers

Medical identifiers for Mr Grant David Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689812265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS24617 (California)	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. Mr Grant David Clarke allows following entities to bill medicare on his behalf.

Entity Name	Sunny Hills Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467551200 PECOS PAC ID: 0244299139 Enrollment ID: O20041006001069

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. Mr Grant David Clarke 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
Mr Grant David Clarke, LCSW 1925 Daly St, 2nd Floor, Los Angeles, CA 90031-3309 Ph: (323) 226-4448	Mr Grant David Clarke, LCSW 140 E Commonwealth Ave Ste 101, Fullerton, CA 92832-1905 Ph: (714) 773-4111

Reviews and Comments

Social Worker in Fullerton, CA

Mr. Dennis Dion Durby, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 524 W Commonwealth Ave, Suite K, Fullerton, CA 92832 Phone: 714-680-0241
Tammy Mckee, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 401 East Imperial Hwy, Fullerton, CA 92835 Phone: 714-447-7000
Christy C Molino, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 N Highland Ave Apt 201, Fullerton, CA 92832 Phone: 310-722-3512
Jene Moio, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1370 Brea Blvd., Suite 210, Fullerton, CA 92835 Phone: 310-498-0107
Adriana Cervantes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 801 E Chapman Ave Ste 203, Fullerton, CA 92831 Phone: 714-680-9000
Mrs. Daisy Rivera, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1835 Sunny Crest Dr, Fullerton, CA 92835 Phone: 714-446-5101
Mrs. Brenda Lee Lapinid, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 E Amerige Ave # 312, Fullerton, CA 92832 Phone: 949-287-3176

Mr Grant David Clarke, LCSW - Medicare Clinical Social Worker in Fullerton, CA