Kimberly Nicole Clark, in Lawton, OK - Medicare Counselor Provider

Kimberly Nicole Clark, is a medicare enrolled "Counselor - Professional" provider in Lawton, Oklahoma. Her current practice location is 4202 Sw Lee Blvd, Lawton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (575) 642-3673.

Kimberly Nicole Clark is licensed to practice in Oklahoma (license number ) 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 1548741358.

Contact Information

	Kimberly Nicole Clark,
	4202 Sw Lee Blvd, Lawton, OK 73505-8300
	(575) 642-3673
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Nicole Clark
Gender	Female
Speciality	Counselor - Professional
Location	4202 Sw Lee Blvd, Lawton, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548741358
Provider Enumeration Date: 08/29/2018
Last Update Date: 07/20/2020

Medicare PECOS Information:

PECOS PAC ID: 2567807597
Enrollment ID: I20240229003473

Medical Identifiers

Medical identifiers for Kimberly Nicole Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548741358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(Oklahoma)	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. Kimberly Nicole Clark allows following entities to bill medicare on her behalf.

Entity Name	Oklahoma Mental Health Council
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275574907 PECOS PAC ID: 3173514387 Enrollment ID: O20040518001034

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. Kimberly Nicole 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
Kimberly Nicole Clark, 85 Quail Creek Dr, Lawton, OK 73507-9026 Ph: () -	Kimberly Nicole Clark, 4202 Sw Lee Blvd, Lawton, OK 73505-8300 Ph: (575) 642-3673

Reviews and Comments

Counselor in Lawton, OK

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Kimberly Nicole Clark, - Medicare Counselor in Lawton, OK