Fran Caroline Clark, MED in Conway, SC - Medicare Counselor Provider

Fran Caroline Clark, MED is a medicare enrolled "Counselor - Mental Health" provider in Conway, South Carolina. Her current practice location is 164 Waccamaw Medical Park Dr, Conway, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 347-5060.

Fran Caroline 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 1629094479.

Contact Information

	Fran Caroline Clark, MED
	164 Waccamaw Medical Park Dr, Conway, SC 29526-8903
	(843) 347-5060
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fran Caroline Clark
Gender	Female
Speciality	Counselor - Mental Health
Location	164 Waccamaw Medical Park Dr, Conway, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629094479
Provider Enumeration Date: 07/14/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3072044056
Enrollment ID: I20241001002940

Medical Identifiers

Medical identifiers for Fran Caroline Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629094479	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. Fran Caroline Clark allows following entities to bill medicare on her behalf.

Entity Name	South Carolina Dept Of Mental Health Accounting Office
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356397228 PECOS PAC ID: 9032021175 Enrollment ID: O20040303000705

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. Fran Caroline 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
Fran Caroline Clark, MED 4695 Wild Iris Dr Apt 305, Myrtle Beach, SC 29577-8727 Ph: (843) 283-5526	Fran Caroline Clark, MED 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 Ph: (843) 347-5060

Reviews and Comments

Counselor in Conway, SC

Ms. Tawan Binnetta Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060
Latoya Lawrence, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Wise Rd, Conway, SC 29526 Phone: 843-365-8884
Sabrina Jelks, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Wise Rd, Conway, SC 29526 Phone: 843-365-8884
Hanna Grace Hardee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2404 Wise Rd, Conway, SC 29526 Phone: 843-365-8884
Jannie Lance Morant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060
Joseph E Dekine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 164 Waccamaw Medical Park Dr, Conway, SC 29526 Phone: 843-347-5060
Susan Ann Mclean, LPC, NCC, CCH Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Waccamaw Medical Park Ct, Conway, SC 29526 Phone: 843-457-0946

Fran Caroline Clark, MED - Medicare Counselor in Conway, SC