Amy Clark, LCSW, SAC is a medicare enrolled "Social Worker - Clinical" provider in Franklin, Wisconsin. She graduated from healthcare school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is
9200 W Loomis Rd Ste 217, Franklin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 773-4312.
Amy Clark is licensed to practice in Wisconsin (license number 8789-123) 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 1851898233.
Healthcare Provider's Profile
| Full Name | Amy Clark |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 9200 W Loomis Rd Ste 217, Franklin, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy Clark graduated from medical school in 2014
NPI Data:
- NPI Number: 1851898233
- Provider Enumeration Date: 04/11/2018
- Last Update Date: 06/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931456209
- Enrollment ID: I20180717003993
Medical Identifiers
Medical identifiers for Amy Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851898233 | NPI | - | NPPES |
| 100077875 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 16182-132 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8789-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Aurora Medical Group, Inc. | 6709794258 | 3269 |
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. Amy Clark allows following entities to bill medicare on her behalf.
| Entity Name | Aurora Medical Group, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725 |
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| Entity Name | Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932312212
PECOS PAC ID: 0547200198
Enrollment ID: O20050503001288 |
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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. 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 |
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Amy Clark, LCSW, SAC
9200 W Loomis Rd Ste 217,
Franklin, WI 53132-8887
Ph: (414) 773-4312 | Amy Clark, LCSW, SAC
9200 W Loomis Rd Ste 217,
Franklin, WI 53132
Ph: (414) 773-4312 |
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