Mrs Dawn Clark, LMHC in Fort Myers, FL - Medicare Counselor Provider

Mrs Dawn Clark, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fort Myers, Florida. Her current practice location is 17211 Caloosa Trace Cir, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 218-6227.

Mrs Dawn Clark is licensed to practice in Florida (license number MH 12708) 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 1730572397.

Contact Information

	Mrs Dawn Clark, LMHC
	17211 Caloosa Trace Cir, Fort Myers, FL 33967-2567
	(239) 218-6227
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dawn Clark
Gender	Female
Speciality	Counselor - Mental Health
Location	17211 Caloosa Trace Cir, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730572397
Provider Enumeration Date: 03/06/2015
Last Update Date: 03/06/2015

Medicare PECOS Information:

PECOS PAC ID: 7911359526
Enrollment ID: I20240119000697

Medical Identifiers

Medical identifiers for Mrs Dawn Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730572397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MH 12708 (Florida)	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. Mrs Dawn Clark allows following entities to bill medicare on her behalf.

Entity Name	Thriving Lane
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376122515 PECOS PAC ID: 1355741083 Enrollment ID: O20210616002689

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. Mrs Dawn 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
Mrs Dawn Clark, LMHC 17211 Caloosa Trace Cir, Fort Myers, FL 33967-2567 Ph: (239) 218-6227	Mrs Dawn Clark, LMHC 17211 Caloosa Trace Cir, Fort Myers, FL 33967-2567 Ph: (239) 218-6227

Reviews and Comments

Counselor in Fort Myers, FL

Bethaney Lynne Hoffacker, MA, LMHC-QS Counselor Medicare: Not Enrolled in Medicare Practice Location: 8280 College Pkwy Ste 103, Fort Myers, FL 33919 Phone: 941-258-6944
Zachira Josefina Gonzalez, RCSWI Counselor Medicare: Not Enrolled in Medicare Practice Location: 6631 Orion Dr, Fort Myers, FL 33912 Phone: 239-246-0381
Ms. Daneen Barker Clarke, M.S. ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 Allen St, Fort Myers, FL 33916 Phone: 239-243-8794
Mr. Frank David Kohn, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12734 Kenwood Ln, Suite 17, Fort Myers, FL 33907 Phone: 239-939-3911 Fax: 239-939-3911
Ms. Tina Friedman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8695 College Pkwy, 2258, Fort Myers, FL 33919 Phone: 239-489-4705 Fax: 239-489-2732
Mary Hemrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1940 Maravilla Ave, Fort Myers, FL 33901 Phone: 239-334-0222
Ms. Elizabeth Ann Hilgreen, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12424 Brantley Commons Ct, Fort Myers, FL 33907 Phone: 239-994-9315

Mrs Dawn Clark, LMHC - Medicare Counselor in Fort Myers, FL