Courtney Denise Clark, LPC-MHSP in Crossville, TN

Courtney Denise Clark, LPC-MHSP is a medicare enrolled "Counselor - Professional" provider in Crossville, Tennessee. Her current practice location is 502 Mockingbird Dr, Crossville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 787-2551.

Courtney Denise Clark is licensed to practice in Tennessee (license number LPC0000004337) 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 1366056681.

Contact Information

	Courtney Denise Clark, LPC-MHSP
	502 Mockingbird Dr, Crossville, TN 38555-5836
	(931) 787-2551
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Denise Clark
Gender	Female
Speciality	Counselor - Professional
Location	502 Mockingbird Dr, Crossville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366056681
Provider Enumeration Date: 09/03/2020
Last Update Date: 09/03/2020

Medicare PECOS Information:

PECOS PAC ID: 3072965912
Enrollment ID: I20240117000576

Medical Identifiers

Medical identifiers for Courtney Denise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366056681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC0000004337 (Tennessee)	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. Courtney Denise Clark allows following entities to bill medicare on her behalf.

Entity Name	Brightside Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230404000547

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. Courtney Denise 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
Courtney Denise Clark, LPC-MHSP 502 Mockingbird Dr, Crossville, TN 38555-5836 Ph: (931) 787-2551	Courtney Denise Clark, LPC-MHSP 502 Mockingbird Dr, Crossville, TN 38555-5836 Ph: (931) 787-2551

Reviews and Comments

Counselor in Crossville, TN

Elizabeth Sue Eaves, LPC-MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 178 Hillsway, Crossville, TN 38555 Phone: 931-261-8230
Jonathan Scott Hull, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 279 Hickory Hollow Dr, Crossville, TN 38555 Phone: 931-484-8342
Mr. George Thomas Netherton, LPC LPE LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 261 Yvonne Avenue, Crossville, TN 38555 Phone: 931-707-8921 Fax: 931-707-8921
Felisha Gabrielle Baxter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 724 Hillcrest Dr, Crossville, TN 38555 Phone: 931-337-1809
Robin Browning Hull, ED.S., L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 279 Hickory Hollow Dr, Crossville, TN 38555 Phone: 931-484-8342
Mr. Larry Shane Wyatt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 261 Yvonne Ave, Crossville, TN 38555 Phone: 931-456-2859 Fax: 931-707-8921
Jan Boston Sellers, PHD, LPC, Counselor Medicare: Medicare Enrolled Practice Location: 261 Yvonne Ave, Crossville, TN 38555 Phone: 931-456-2859 Fax: 931-797-8921

Courtney Denise Clark, LPC-MHSP - Medicare Counselor in Crossville, TN