Mrs Jean R Miller-clarkson, PHD, LP, LPC is a medicare enrolled "Psychologist" provider in Lambertville, Michigan. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Christian Care Connection, Llc and her current practice location is
6530 Secor Rd, Lambertville, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 854-7061.
Mrs Jean R Miller-clarkson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942357934.
Healthcare Provider's Profile
| Full Name | Mrs Jean R Miller-clarkson |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 11 Years |
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| Location | 6530 Secor Rd, Lambertville, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jean R Miller-clarkson graduated from medical school in 2013
NPI Data:
- NPI Number: 1942357934
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 09/22/2016
Medicare PECOS Information:
- PECOS PAC ID: 8921386707
- Enrollment ID: I20161028001882
Medical Identifiers
Medical identifiers for Mrs Jean R Miller-clarkson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942357934 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 6401007455 (Michigan) | Secondary |
| 101YP2500X | Counselor - Professional | 6401007455 (Michigan) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Christian Care Connection, Llc | 4486923398 | 3 |
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 Jean R Miller-clarkson allows following entities to bill medicare on her behalf.
| Entity Name | Self And Family Enterprises Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497932800
PECOS PAC ID: 6103984620
Enrollment ID: O20081027000756 |
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| Entity Name | Christian Care Connection, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205983038
PECOS PAC ID: 4486923398
Enrollment ID: O20170710001324 |
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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 Jean R Miller-clarkson 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 |
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Mrs Jean R Miller-clarkson, PHD, LP, LPC
6530 Secor Rd,
Lambertville, MI 48144-9456
Ph: (734) 854-7061 | Mrs Jean R Miller-clarkson, PHD, LP, LPC
6530 Secor Rd,
Lambertville, MI 48144-9456
Ph: (734) 854-7061 |
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