Bradley W Clark, LSCSW, LCAC is a medicare enrolled "Social Worker - Clinical" provider in Wichita, Kansas. He graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Behavioral Medicine Specialists, Pa and his current practice location is
9333 E 21st St N, Wichita, Kansas. You can reach out to his office (for appointments etc.) via phone at
(316) 634-4700.
Bradley W Clark is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427383124.
Healthcare Provider's Profile
| Full Name | Bradley W Clark |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 9333 E 21st St N, Wichita, Kansas |
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| Accepts Medicare Assignments | Yes. He 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:
- Bradley W Clark graduated from medical school in 2009
NPI Data:
- NPI Number: 1427383124
- Provider Enumeration Date: 10/14/2009
- Last Update Date: 10/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 1951547843
- Enrollment ID: I20130419000339
Medical Identifiers
Medical identifiers for Bradley W Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427383124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Behavioral Medicine Specialists, Pa | 1355240102 | 5 |
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. Bradley W Clark allows following entities to bill medicare on his behalf.
| Entity Name | Behavioral Medicine Specialists, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881706398
PECOS PAC ID: 1355240102
Enrollment ID: O20031231000380 |
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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. Bradley W 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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Bradley W Clark, LSCSW, LCAC
9333 E 21st St N,
Wichita, KS 67206-2927
Ph: (316) 634-4700 | Bradley W Clark, LSCSW, LCAC
9333 E 21st St N,
Wichita, KS 67206-2927
Ph: (316) 634-4700 |
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