Gregory Scott Clark Jr, in Tyler, TX - Medicare Counselor Provider

Gregory Scott Clark Jr, is a medicare enrolled "Counselor - Professional" provider in Tyler, Texas. His current practice location is 1121 E Southeast Loop 323 Ste 204, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 581-0933.

Gregory Scott Clark Jr is licensed to practice in Texas (license number 78242) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881055911.

Contact Information

	Gregory Scott Clark Jr,
	1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701
	(903) 581-0933
	(903) 581-0933

Map and Direction

Healthcare Provider's Profile

Full Name	Gregory Scott Clark Jr
Gender	Male
Speciality	Counselor - Professional
Location	1121 E Southeast Loop 323 Ste 204, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881055911
Provider Enumeration Date: 03/17/2016
Last Update Date: 10/24/2019

Medicare PECOS Information:

PECOS PAC ID: 6608229307
Enrollment ID: I20240130000908

Medical Identifiers

Medical identifiers for Gregory Scott Clark Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881055911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	31769 (Texas)	Secondary
101YP2500X	Counselor - Professional	78242 (Texas)	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. Gregory Scott Clark Jr allows following entities to bill medicare on his behalf.

Entity Name	Alaniz Counseling And Behavioral Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811288731 PECOS PAC ID: 0648596924 Enrollment ID: O20150304000138

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. Gregory Scott Clark Jr 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
Gregory Scott Clark Jr, 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701-9660 Ph: (903) 581-0933	Gregory Scott Clark Jr, 1121 E Southeast Loop 323 Ste 204, Tyler, TX 75701 Ph: (903) 581-0933

Reviews and Comments

Counselor in Tyler, TX

Mr. Laramie C Selman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4101 University Blvd, Tyler, TX 75701 Phone: 903-363-7704
Mrs. Jill Marie Kirkley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3800 Paluxy Dr, Ste 240, Tyler, TX 75703 Phone: 903-630-0422
Mrs. Joy Louise Bevoni, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14023 State Highway 155 S, Tyler, TX 75703 Phone: 903-534-0414
Mr. David Comins Wheeler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5875 Grace Ave, Tyler, TX 75707 Phone: 903-316-5106
Desiree Laurel Glaze, LPC S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Rickety Ln Ste E, Tyler, TX 75703 Phone: 903-330-0601
Lenore Strickland, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5207 Hollytree Dr Apt 905, Tyler, TX 75703 Phone: 903-539-3158
April Michelle Nance, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 S Vine Ave, Tyler, TX 75701 Phone: 903-526-4055

Gregory Scott Clark Jr, - Medicare Counselor in Tyler, TX