Charise Clark, is a
Case Manager/care Coordinator based in Colfax, Louisiana. Charise Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
904 Mill St, Colfax, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 627-5594.
NPI number for Charise Clark is 1811354723 and her current mailing address is 904 Mill St, Colfax, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811354723.
Healthcare Provider's Profile
Full Name | Charise Clark |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 904 Mill St, Colfax, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811354723
- Provider Enumeration Date: 01/22/2016
- Last Update Date: 08/01/2018
Medical Identifiers
Medical identifiers for Charise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811354723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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. Charise Clark is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charise Clark, 904 Mill St, Colfax, LA 71417-1032 Ph: (318) 627-5594 | Charise Clark, 904 Mill St, Colfax, LA 71417 Ph: (318) 627-5594 |
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