Kessalyn Rae Clark, LCSW, LAC in Helena, MT - Medicare Counselor Provider

Kessalyn Rae Clark, LCSW, LAC is a medicare enrolled "Counselor - Professional" provider in Helena, Montana. Her current practice location is 501 Euclid Ave, Helena, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 442-9244.

Kessalyn Rae Clark is licensed to practice in Montana (license number BBH-LCSW-LIC-55626) 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 1871071639.

Contact Information

	Kessalyn Rae Clark, LCSW, LAC
	501 Euclid Ave, Helena, MT 59601-2865
	(406) 442-9244
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kessalyn Rae Clark
Gender	Female
Speciality	Counselor - Professional
Location	501 Euclid Ave, Helena, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871071639
Provider Enumeration Date: 08/03/2018
Last Update Date: 03/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6002294923
Enrollment ID: I20220606002468

Medical Identifiers

Medical identifiers for Kessalyn Rae Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871071639	NPI	-	NPPES
92-2641389	Other	MT	IRS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	BBH-LAC-LIC-31878 (Montana)	Secondary
101YP2500X	Counselor - Professional	BBH-LCSW-LIC-55626 (Montana)	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. Kessalyn Rae Clark allows following entities to bill medicare on her behalf.

Entity Name	Helena Indian Alliance Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497964290 PECOS PAC ID: 4486793940 Enrollment ID: O20140325000024

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. Kessalyn Rae 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
Kessalyn Rae Clark, LCSW, LAC 400 Harrison Ave, Helena, MT 59601-6147 Ph: (406) 475-4684	Kessalyn Rae Clark, LCSW, LAC 501 Euclid Ave, Helena, MT 59601-2865 Ph: (406) 442-9244

Reviews and Comments

Counselor in Helena, MT

Rebekah N Coonen, LCPC, LAC Counselor Medicare: Medicare Enrolled Practice Location: 1930 9th Ave, Helena, MT 59601 Phone: 406-457-0000 Fax: 406-500-2128
Karrie J Bird, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 535 Saddle Dr, Helena, MT 59601 Phone: 406-465-5938 Fax: 406-449-8828
Meghan Stewart, Counselor Medicare: Medicare Enrolled Practice Location: 2755 Colonial Dr, Helena, MT 59601 Phone: 406-444-7500
Allison Fae Flynn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 S Rodney St Ste 422, Helena, MT 59601 Phone: 406-201-9348
Jennifer Ann Gantz, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 60 S Last Chance Gulch, Helena, MT 59601 Phone: 406-443-2343 Fax: 406-443-5490
Mr. Jeremy Royal, M.A., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2300 N Harris St Unit 7886, Helena, MT 59604 Phone: 406-792-6472
Jake S Leeper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1500 E Lyndale Ave, Helena, MT 59601 Phone: 406-396-6117

Kessalyn Rae Clark, LCSW, LAC - Medicare Counselor in Helena, MT