Ms Deidre' Marie Clark, MA, LMFT in Shakopee, MN - Medicare Marriage & Family Therapist Provider

Ms Deidre' Marie Clark, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Shakopee, Minnesota. Her current practice location is 200 4th Ave W Ste 300, Shakopee, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 496-8445.

Ms Deidre' Marie Clark is licensed to practice in Minnesota (license number 3698) 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 1245829548.

Contact Information

	Ms Deidre' Marie Clark, MA, LMFT
	200 4th Ave W Ste 300, Shakopee, MN 55379-1220
	(952) 496-8445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Deidre' Marie Clark
Gender	Female
Speciality	Marriage & Family Therapist
Location	200 4th Ave W Ste 300, Shakopee, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245829548
Provider Enumeration Date: 01/12/2021
Last Update Date: 01/12/2021

Medicare PECOS Information:

PECOS PAC ID: 3577969310
Enrollment ID: I20240210000105

Medical Identifiers

Medical identifiers for Ms Deidre' Marie Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245829548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	3698 (Minnesota)	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. Ms Deidre' Marie Clark allows following entities to bill medicare on her behalf.

Entity Name	Lakeview Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154404325 PECOS PAC ID: 9537432307 Enrollment ID: O20170830003216

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. Ms Deidre' Marie 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
Ms Deidre' Marie Clark, MA, LMFT 26 River Woods Ln, Burnsville, MN 55337-3369 Ph: (952) 220-0263	Ms Deidre' Marie Clark, MA, LMFT 200 4th Ave W Ste 300, Shakopee, MN 55379-1220 Ph: (952) 496-8445

Reviews and Comments

Marriage & Family Therapist in Shakopee, MN

Natalie Rose Borrell, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-428-3000 Fax: 952-428-3003
Dr. Michael G Chovanec, LMFT, LICSW, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, Government Center Rm 300, Shakopee, MN 55379 Phone: 952-496-8514
Lara T Collins Asmus, L.M.F.T. Couples Therapy Medicare: Medicare Enrolled Practice Location: 200 4th Ave W # 300, Shakopee, MN 55379 Phone: 952-445-7751
Sarah E Mickelsen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W Ste 300, Shakopee, MN 55379 Phone: 952-496-8565 Fax: 952-496-8355
Andrea Coppock, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1725 Astoria Drive, Shakopee, MN 55379 Phone: 952-687-7451
Beth Becker, MA, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 4th Ave W, Shakopee, MN 55379 Phone: 952-496-8196

Ms Deidre' Marie Clark, MA, LMFT - Medicare Couples Therapy in Shakopee, MN