Gail M Clark, LPCMH in Dover, DE - Medicare Counselor Provider

Gail M Clark, LPCMH is a medicare enrolled "Counselor - Professional" provider in Dover, Delaware. Her current practice location is 278 Wilmas Way, Dover, Delaware. You can reach out to her office (for appointments etc.) via phone at (302) 604-3906.

Gail M Clark is licensed to practice in Delaware (license number PC-0000366) 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 1497895460.

Contact Information

	Gail M Clark, LPCMH
	278 Wilmas Way, Dover, DE 19901-5538
	(302) 604-3906
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gail M Clark
Gender	Female
Speciality	Counselor - Professional
Location	278 Wilmas Way, Dover, Delaware
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497895460
Provider Enumeration Date: 02/07/2007
Last Update Date: 02/20/2023

Medicare PECOS Information:

PECOS PAC ID: 8921459504
Enrollment ID: I20240108004991

Medical Identifiers

Medical identifiers for Gail M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497895460	NPI	-	NPPES
1000040998	Medicaid	DE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	PC-0000366 (Delaware)	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. Gail M Clark allows following entities to bill medicare on her behalf.

Entity Name	Brightside Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230919004516

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. Gail M 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
Gail M Clark, LPCMH 278 Wilmas Way, Dover, DE 19901-5538 Ph: (302) 604-3906	Gail M Clark, LPCMH 278 Wilmas Way, Dover, DE 19901-5538 Ph: (302) 604-3906

Reviews and Comments

Counselor in Dover, DE

Kristine L Hutchison, LPCMH, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 W Loockerman St, Dover, DE 19904 Phone: 302-674-1397 Fax: 302-674-1602
Mr. Alan Wayne Meluney, LPCMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 1151 Walker Rd, Dover, DE 19904 Phone: 302-674-2380 Fax: 302-674-1299
Timothy Early, Counselor Medicare: Not Enrolled in Medicare Practice Location: 884 Walker Rd Ste B, Dover, DE 19904 Phone: 302-678-4911 Fax: 302-678-4948
Mrs. Melissa Kaye Tooles, LPCMH, NCC, MCC, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2040 Sycamore Ct, Unit 4, Dover, DE 19901 Phone: 410-262-3058
Cynthia Prange, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1609 S State St, Dover, DE 19901 Phone: 302-257-3135
Lesmine London Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 S New St, Dover, DE 19904 Phone: 302-504-8500
Michelle Ericksen, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 156 S State St, Dover, DE 19901 Phone: 302-674-2380 Fax: 302-674-1299

Gail M Clark, LPCMH - Medicare Counselor in Dover, DE