Rebecca Elizabeth Clark, in Collingswood, NJ - Medicare Social Worker Provider

Rebecca Elizabeth Clark, is a medicare enrolled "Social Worker - Clinical" provider in Collingswood, New Jersey. Her current practice location is 168 Fern Ave, Collingswood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 310-7343.

Rebecca Elizabeth Clark is licensed to practice in New Jersey (license number 44SC06081000) 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 1487363016.

Contact Information

	Rebecca Elizabeth Clark,
	168 Fern Ave, Collingswood, NJ 08108-1938
	(732) 310-7343
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Rebecca Elizabeth Clark
Gender	Female
Speciality	Social Worker - Clinical
Location	168 Fern Ave, Collingswood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487363016
Provider Enumeration Date: 11/22/2022
Last Update Date: 11/22/2022

Medicare PECOS Information:

PECOS PAC ID: 2163870239
Enrollment ID: I20231129003856

Medical Identifiers

Medical identifiers for Rebecca Elizabeth Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487363016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC06081000 (New Jersey)	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. Rebecca Elizabeth Clark allows following entities to bill medicare on her behalf.

Entity Name	Lifebulb Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699491464 PECOS PAC ID: 2062881162 Enrollment ID: O20230301003017

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. Rebecca Elizabeth 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
Rebecca Elizabeth Clark, 18 Wilson St, Middlesex, NJ 08846-1425 Ph: (732) 310-7343	Rebecca Elizabeth Clark, 168 Fern Ave, Collingswood, NJ 08108-1938 Ph: (732) 310-7343

Reviews and Comments

Social Worker in Collingswood, NJ

Marie Anntonette Dunlap-pryce, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 566 Haddon Ave, Collingswood, NJ 08108 Phone: 856-858-9314 Fax: 856-858-5672
Catherine Westerduin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 580 Haddon Ave, Collingswood, NJ 08108 Phone: 201-745-7162
Edmund Vincent, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 566 Haddon Ave, Collingswood, NJ 08108 Phone: 856-858-9314 Fax: 856-858-5672
Kristin S Nicely Colangelo, LCSW, LCADC, CCS Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13 W Madison Ave, Collingswood, NJ 08108 Phone: 609-405-7037
Mrs. Patricia Ann Mullen, LISCENSED CLINICAL S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 20 Irvin Avenue, Collingswood, NJ 08108 Phone: 856-296-0576
Kayla T Bradshaw, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 566 Haddon Avenue, Collingswood, NJ 08108 Phone: 856-858-9314 Fax: 856-858-5672

Rebecca Elizabeth Clark, - Medicare Clinical Social Worker in Collingswood, NJ