Dr Diamond Nicole Clark, MFT, EDD in Middletown, DE

Dr Diamond Nicole Clark, MFT, EDD is a medicare enrolled "Counselor - Mental Health" provider in Middletown, Delaware. Her current practice location is 101 W Park Place, Middletown, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 279-6491.

Dr Diamond Nicole Clark is licensed to practice in * (Not Available) (license number ) 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 1275108631.

Contact Information

	Dr Diamond Nicole Clark, MFT, EDD
	101 W Park Place, Middletown, DE 19709-1324
	(302) 279-6491
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Diamond Nicole Clark
Gender	Female
Speciality	Counselor - Mental Health
Location	101 W Park Place, Middletown, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275108631
Provider Enumeration Date: 05/26/2021
Last Update Date: 05/26/2021

Medicare PECOS Information:

PECOS PAC ID: 7214379544
Enrollment ID: I20240531001236

Medical Identifiers

Medical identifiers for Dr Diamond Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275108631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Dr Diamond Nicole Clark allows following entities to bill medicare on her behalf.

Entity Name	Columbia Associates In Psychiatry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699012930 PECOS PAC ID: 7113165739 Enrollment ID: O20130521000309

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. Dr Diamond Nicole 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
Dr Diamond Nicole Clark, MFT, EDD 101 W Park Pl, Middletown, DE 19709-1324 Ph: (302) 279-6491	Dr Diamond Nicole Clark, MFT, EDD 101 W Park Place, Middletown, DE 19709-1324 Ph: (302) 279-6491

Reviews and Comments

Counselor in Middletown, DE

Mary C. Fenimore, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Sandhill Dr Ste 202, Middletown, DE 19709 Phone: 302-674-2380 Fax: 302-376-6212
Mrs. Laurie Ann Denham, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 252 Carter Dr, Middletown, DE 19709 Phone: 302-738-6859 Fax: 302-368-5309
Mrs. Sandra Lee Knauer-king, MSW Counselor Medicare: Medicare Enrolled Practice Location: 401 N Broad St, Middletown, DE 19709 Phone: 302-376-0621 Fax: 302-376-6219
Tyler Kackley, LPCMH Counselor Medicare: Medicare Enrolled Practice Location: 735 Mapleton Ave Ste 200, Middletown, DE 19709 Phone: 302-224-1400 Fax: 302-224-1402
Ms. Angie C Walker, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 153 Shannon Blvd, Middletown, DE 19709 Phone: 302-981-3851
Brittanee King, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 364 E Main St Ste 184, Middletown, DE 19709 Phone: 302-563-5140
Mr. Demetrius Valentino Mckay, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 326 Acasta Dr, Middletown, DE 19709 Phone: 609-217-3374

Dr Diamond Nicole Clark, MFT, EDD - Medicare Counselor in Middletown, DE