Mrs Sandra Denice Clark, EDS in Meridian, MS - Medicare Counselor Provider

Mrs Sandra Denice Clark, EDS is a medicare enrolled "Counselor - Professional" provider in Meridian, Mississippi. Her current practice location is 5701 N Hills St, Meridian, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 581-7562.

Mrs Sandra Denice Clark is licensed to practice in Mississippi (license number 0804) 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 1205142106.

Contact Information

	Mrs Sandra Denice Clark, EDS
	5701 N Hills St, Meridian, MS 39307-2903
	(601) 581-7562
	(601) 581-7676

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Sandra Denice Clark
Gender	Female
Speciality	Counselor - Professional
Location	5701 N Hills St, Meridian, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205142106
Provider Enumeration Date: 08/30/2010
Last Update Date: 08/31/2010

Medicare PECOS Information:

PECOS PAC ID: 5890134894
Enrollment ID: I20240423001806

Medical Identifiers

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

Identifier	Type	State	Issuer
1205142106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	0804 (Mississippi)	Secondary
101YM0800X	Counselor - Mental Health	LH0061 (Mississippi)	Secondary
101YP2500X	Counselor - Professional	0804 (Mississippi)	Primary
101YS0200X	Counselor - School	168226 (Mississippi)	Secondary

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 Sandra Denice Clark allows following entities to bill medicare on her behalf.

Entity Name	Greater Meridian Health Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962509208 PECOS PAC ID: 9032027834 Enrollment ID: O20040217000471

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 Sandra Denice 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 Sandra Denice Clark, EDS Po Box 4128, Meridian, MS 39304-4128 Ph: (601) 581-7636	Mrs Sandra Denice Clark, EDS 5701 N Hills St, Meridian, MS 39307-2903 Ph: (601) 581-7562

Reviews and Comments

Counselor in Meridian, MS

Debra Casey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 College Dr, Meridian, MS 39307 Phone: 601-483-4821
Renorda Christy Dukes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4927 Popular Springs Drive, Meridian, MS 39305 Phone: 601-484-5779
Mrs. Paula J Hamilton, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1815 Highway 39 N Ste A, Meridian, MS 39301 Phone: 601-483-4920 Fax: 601-483-4988
Jessica Mccoy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 College Dr, Meridian, MS 39307 Phone: 601-483-4821 Fax: 601-485-8727
Mrs. Susan Young Jentoft, M.S., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5410 Windsor Rd, Meridian, MS 39305 Phone: 601-479-2345 Fax: 205-459-2629
Alyece Loyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 College Dr, Meridian, MS 39307 Phone: 601-483-4821
Kenneth Tye, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1415 College Dr, Meridian, MS 39307 Phone: 601-483-4821 Fax: 601-485-8727

Mrs Sandra Denice Clark, EDS - Medicare Counselor in Meridian, MS