Jerrod Clark, is a
Community Health Worker based in Klawock, Alaska. Jerrod Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is
6340 G Street, Klawock, Alaska. He can be reached at his office (for appointments etc.) via phone at
(502) 226-0663.
NPI number for Jerrod Clark is 1437752698 and his current mailing address is 721 Stedman St, Ketchikan, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437752698.
Healthcare Provider's Profile
| Full Name | Jerrod Clark |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 6340 G Street, Klawock, Alaska |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437752698
- Provider Enumeration Date: 11/19/2020
- Last Update Date: 02/09/2021
Medical Identifiers
Medical identifiers for Jerrod Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437752698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (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. Jerrod Clark 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 |
|---|
Jerrod Clark,
721 Stedman St,
Ketchikan, AK 99901-6632
Ph: (907) 225-7825 | Jerrod Clark,
6340 G Street,
Klawock, AK 99925
Ph: (502) 226-0663 |
Reviews and Comments