Ms Amy Clark, LICSW in Buffalo, MN - Medicare Clinical Social Worker Provider

Ms Amy Clark, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Buffalo, Minnesota. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Healthpartners Medical Group and her current practice location is 102 Marty Dr, Buffalo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 682-5420.

Ms Amy Clark is licensed to practice in Minnesota (license number 1340) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700955259.

Contact Information

	Ms Amy Clark, LICSW
	102 Marty Dr, Buffalo, MN 55313-9305
	(763) 682-5420
	(763) 682-5803

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Amy Clark
Gender	Female
Speciality	Clinical Social Worker
Experience	30 Years
Location	102 Marty Dr, Buffalo, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Amy Clark graduated from medical school in 1994

NPI Data:

NPI Number: 1700955259
Provider Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8123102191
Enrollment ID: I20080228000718

Medical Identifiers

Medical identifiers for Ms Amy Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700955259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	1340 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthpartners Medical Group	1759293954	1429

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. Ms Amy Clark allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Ms Amy 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
Ms Amy Clark, LICSW 3226 Garfield St Ne, Minneapolis, MN 55418-2226 Ph: (612) 816-2361	Ms Amy Clark, LICSW 102 Marty Dr, Buffalo, MN 55313-9305 Ph: (763) 682-5420

Reviews and Comments

Social Worker in Buffalo, MN

Stephanie E Barnes, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Mrs. Erica Rose Creighton, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo, MN 55313 Phone: 763-682-5225
Androniki Kokkali, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Gina Marie Theisz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400 Fax: 763-682-1353
Marah Rae Walker, MSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 308 12th Ave S, Buffalo, MN 55313 Phone: 763-682-4400
Richelle H Kramer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 3rd Ave Sw, Buffalo, MN 55313 Phone: 612-269-9052

Ms Amy Clark, LICSW - Medicare Clinical Social Worker in Buffalo, MN