Melanie R Clark, is a
Counselor - Mental Health based in Ashton, Illinois. Melanie R Clark is licensed to practice in * (Not Available) (license number ) and her current practice location is
603 Main St, Ashton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 501-7090.
NPI number for Melanie R Clark is 1225386139 and her current mailing address is 603 Main St, Ashton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225386139.
Healthcare Provider's Profile
Full Name | Melanie R Clark |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 603 Main St, Ashton, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225386139
- Provider Enumeration Date: 08/27/2012
- Last Update Date: 02/26/2016
Medical Identifiers
Medical identifiers for Melanie R Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225386139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (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. Melanie R 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 |
Melanie R Clark, 603 Main St, Ashton, IL 61006-9230 Ph: () - | Melanie R Clark, 603 Main St, Ashton, IL 61006-9230 Ph: (815) 501-7090 |
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