Dr Nina Clark, PSYD, LPC in Anchorage, AK - Medicare Counselor Provider

Dr Nina Clark, PSYD, LPC is a medicare enrolled "Counselor - Mental Health" provider in Anchorage, Alaska. Her current practice location is 15261 Snow Flake Dr, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 331-8854.

Dr Nina Clark is licensed to practice in Alaska (license number 173084) 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 1982276077.

Contact Information

	Dr Nina Clark, PSYD, LPC
	15261 Snow Flake Dr, Anchorage, AK 99516-4435
	(907) 331-8854
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nina Clark
Gender	Female
Speciality	Counselor - Mental Health
Location	15261 Snow Flake Dr, Anchorage, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982276077
Provider Enumeration Date: 07/16/2021
Last Update Date: 07/16/2021

Medicare PECOS Information:

PECOS PAC ID: 8820434988
Enrollment ID: I20240311003979

Medical Identifiers

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

Identifier	Type	State	Issuer
1982276077	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	173084 (Alaska)	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 Nina Clark allows following entities to bill medicare on her behalf.

Entity Name	Self-awareness And Presence Practice- Sapp Counseling
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386310282 PECOS PAC ID: 7911343074 Enrollment ID: O20240311003957

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 Nina 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 Nina Clark, PSYD, LPC 15261 Snow Flake Dr, Anchorage, AK 99516-4435 Ph: (907) 331-8854	Dr Nina Clark, PSYD, LPC 15261 Snow Flake Dr, Anchorage, AK 99516-4435 Ph: (907) 331-8854

Reviews and Comments

Counselor in Anchorage, AK

Mr. Duncan R Brooks, MS, LPC. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 E International Airport Rd Ste 100, Anchorage, AK 99518 Phone: 907-570-6382 Fax: 888-972-3679
Carolyn Michaud, OTD OTR/L Counselor Medicare: Not Enrolled in Medicare Practice Location: 4325 Laurel St Ste 102, Anchorage, AK 99508 Phone: 907-569-5660
Patricia Quinn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 741 Sesame St Ste 1b, Anchorage, AK 99503 Phone: 907-406-2642
Mrs. Rebecca Ann Shestakov, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6952 Cutty Sark St, Anchorage, AK 99502 Phone: 907-982-5562
Parinita Shetty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7440 Creekside Center Dr, Anchorage, AK 99504 Phone: 907-279-9640
Tau Vaaia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1709 Bragaw St, Anchorage, AK 99508 Phone: 907-562-5340
Katie Ogin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2600 Cordova St, Anchorage, AK 99503 Phone: 907-279-9640

Dr Nina Clark, PSYD, LPC - Medicare Counselor in Anchorage, AK