Judith J Clark, LPC in Lebanon, PA - Medicare Counselor Provider

Judith J Clark, LPC is a medicare enrolled "Counselor - Professional" provider in Lebanon, Pennsylvania. Her current practice location is 239 S Butler Rd, Lebanon, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 273-8871.

Judith J Clark is licensed to practice in Pennsylvania (license number PC000691) 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 1346421658.

Contact Information

	Judith J Clark, LPC
	239 S Butler Rd, Lebanon, PA 17042-8939
	(717) 273-8871
	(717) 270-2452

Map and Direction

Healthcare Provider's Profile

Full Name	Judith J Clark
Gender	Female
Speciality	Counselor - Professional
Location	239 S Butler Rd, Lebanon, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346421658
Provider Enumeration Date: 11/15/2007
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 7214385087
Enrollment ID: I20240501000880

Medical Identifiers

Medical identifiers for Judith J Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346421658	NPI	-	NPPES
PC000691	Other	PA	STATE LICENSE - PC
103757394	Medicaid	PA
11836138	Other		CAQH ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	PC000691 (Pennsylvania)	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. Judith J Clark allows following entities to bill medicare on her behalf.

Entity Name	Philhaven
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043316441 PECOS PAC ID: 8729991419 Enrollment ID: O20031110000103

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. Judith J 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
Judith J Clark, LPC 785 5th Ave Ste 3, Chambersburg, PA 17201-4232 Ph: (717) 263-9555	Judith J Clark, LPC 239 S Butler Rd, Lebanon, PA 17042-8939 Ph: (717) 273-8871

Reviews and Comments

Counselor in Lebanon, PA

Grace Munz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741
Lindsay Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-272-5464 Fax: 717-376-1712
Shannon Dee Kramer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Schneider Dr, Lebanon, PA 17046 Phone: 717-270-2444 Fax: 717-270-2472
Jan Schober, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741 Fax: 717-274-5405
Katelyn Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741
Raquel Vega, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 618 Cumberland St, Lebanon, PA 17042 Phone: 717-274-2741 Fax: 717-274-5405
Tatiana Santodomingo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 N 7th St, Lebanon, PA 17046 Phone: 717-272-5464

Judith J Clark, LPC - Medicare Counselor in Lebanon, PA