Jay K Clark, LPC, LPCC in La Crosse, WI - Medicare Counselor Provider

Jay K Clark, LPC, LPCC is a medicare enrolled "Counselor - Professional" provider in La Crosse, Wisconsin. His current practice location is 115 5th Ave S, Suite 507, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 797-5679.

Jay K Clark is licensed to practice in Wisconsin (license number 3814-125) 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 1790962561.

Contact Information

	Jay K Clark, LPC, LPCC
	115 5th Ave S, Suite 507, La Crosse, WI 54601-9200
	(608) 797-5679
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jay K Clark
Gender	Male
Speciality	Counselor - Professional
Location	115 5th Ave S, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790962561
Provider Enumeration Date: 01/23/2008
Last Update Date: 08/30/2013

Medicare PECOS Information:

PECOS PAC ID: 3577817337
Enrollment ID: I20240221002375

Medical Identifiers

Medical identifiers for Jay K Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790962561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3814-125 (Wisconsin)	Primary
101YP2500X	Counselor - Professional	CC00106 (Minnesota)	Secondary

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. Jay K Clark allows following entities to bill medicare on his behalf.

Entity Name	Peace Of Mind Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861837692 PECOS PAC ID: 6305190166 Enrollment ID: O20181114000157

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. Jay K 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
Jay K Clark, LPC, LPCC 115 5th Ave S, Suite 507, La Crosse, WI 54601-9200 Ph: (608) 797-5679	Jay K Clark, LPC, LPCC 115 5th Ave S, Suite 507, La Crosse, WI 54601-9200 Ph: (608) 797-5679

Reviews and Comments

Counselor in La Crosse, WI

Alicia S Skiles, QTT Counselor Medicare: Medicare Enrolled Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002
Rachel R Unseth, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 115 5th Ave S Ste 523, La Crosse, WI 54601 Phone: 608-797-5679
Tanya L Kessen, LPC Counselor Medicare: Medicare Enrolled Practice Location: 205 5th Ave S Ste 508, La Crosse, WI 54601 Phone: 608-387-9638 Fax: 608-377-7488
Samina L Grimes, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2216 Kane St, La Crosse, WI 54603 Phone: 608-385-4004
Mark L Taylor, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1910 South Ave, La Crosse, WI 54601 Phone: 608-775-2287
Ms. Elizabeth Lou Bierly, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1707 Main St, La Crosse, WI 54601 Phone: 608-785-0001 Fax: 608-785-0002
Deborah Stelmach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Main St Ste 301, La Crosse, WI 54601 Phone: 608-519-5906 Fax: 608-519-5908

Jay K Clark, LPC, LPCC - Medicare Counselor in La Crosse, WI