Mrs Gina Clark, LPC in Stillwater, OK - Medicare Counselor Provider

Mrs Gina Clark, LPC is a medicare enrolled "Counselor - Professional" provider in Stillwater, Oklahoma. Her current practice location is 800 E 6th Ave Ste B, Stillwater, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 372-1250.

Mrs Gina Clark is licensed to practice in Oklahoma (license number 3797) 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 1023151784.

Contact Information

	Mrs Gina Clark, LPC
	800 E 6th Ave Ste B, Stillwater, OK 74074-3732
	(405) 372-1250
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Gina Clark
Gender	Female
Speciality	Counselor - Professional
Location	800 E 6th Ave Ste B, Stillwater, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023151784
Provider Enumeration Date: 02/14/2007
Last Update Date: 04/27/2015

Medicare PECOS Information:

PECOS PAC ID: 4880038462
Enrollment ID: I20240222001906

Medical Identifiers

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

Identifier	Type	State	Issuer
1023151784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	3797 (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. Mrs Gina Clark allows following entities to bill medicare on her behalf.

Entity Name	Iowa Tribe Of Oklahoma
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891943106 PECOS PAC ID: 4880675768 Enrollment ID: O20040526001237

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 Gina 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 Gina Clark, LPC 1321 N Jardot Rd, Stillwater, OK 74075-8531 Ph: (405) 372-3010	Mrs Gina Clark, LPC 800 E 6th Ave Ste B, Stillwater, OK 74074-3732 Ph: (405) 372-1250

Reviews and Comments

Counselor in Stillwater, OK

Kaylie Marie Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 S Duck St, Stillwater, OK 74074 Phone: 405-372-7791
Valerie Ann Sommers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2322 W 7th Ave, Stillwater, OK 74074 Phone: 405-707-9722
Ms. Leslie Erin Shuck, B.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2325 W 7th Pl, Stillwater, OK 74074 Phone: 405-707-9722
Rodnecca Gill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1624 Cimarron Plz, Stillwater, OK 74075 Phone: 844-458-2100
Sarai Cerano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 307 N Duncan St, Stillwater, OK 74075 Phone: 405-532-9515
Sydney Pruett, MCP, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 604 S Walnut St, Stillwater, OK 74074 Phone: 220-240-5372 Fax: 405-445-3780

Mrs Gina Clark, LPC - Medicare Counselor in Stillwater, OK