Jaclyn Clarke, is a
Counselor based in Burns Harbor, Indiana. Jaclyn Clarke is licensed to practice in * (Not Available) (license number ) and her current practice location is
1245 Coan St, Burns Harbor, Indiana. She can be reached at her office (for appointments etc.) via phone at
(773) 322-7075.
NPI number for Jaclyn Clarke is 1962010314 and her current mailing address is 1245 Coan St, Burns Harbor, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962010314.
Healthcare Provider's Profile
Full Name | Jaclyn Clarke |
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Gender | Female |
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Speciality | Counselor |
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Location | 1245 Coan St, Burns Harbor, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1962010314
- Provider Enumeration Date: 07/21/2020
- Last Update Date: 07/21/2020
Medical Identifiers
Medical identifiers for Jaclyn Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962010314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Primary |
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. Jaclyn Clarke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jaclyn Clarke, 1245 Coan St, Burns Harbor, IN 46304-9764 Ph: (773) 322-7075 | Jaclyn Clarke, 1245 Coan St, Burns Harbor, IN 46304-9764 Ph: (773) 322-7075 |
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