Evelyn C Clark, LPCC-S in Youngstown, OH - Medicare Counselor Provider

Evelyn C Clark, LPCC-S is a medicare enrolled "Counselor - Professional" provider in Youngstown, Ohio. Her current practice location is 527 N Meridian Rd, Youngstown, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 797-0070.

Evelyn C Clark is licensed to practice in Ohio (license number E.1200386-SUPV) 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 1003267915.

Contact Information

	Evelyn C Clark, LPCC-S
	527 N Meridian Rd, Youngstown, OH 44509-1227
	(330) 797-0070
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Evelyn C Clark
Gender	Female
Speciality	Counselor - Professional
Location	527 N Meridian Rd, Youngstown, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003267915
Provider Enumeration Date: 06/22/2016
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 1254783293
Enrollment ID: I20240116001708

Medical Identifiers

Medical identifiers for Evelyn C Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003267915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E.1200386-SUPV (Ohio)	Secondary
101YP2500X	Counselor - Professional	E.1200386-SUPV (Ohio)	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. Evelyn C Clark allows following entities to bill medicare on her behalf.

Entity Name	Meridian Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356307235 PECOS PAC ID: 3779553995 Enrollment ID: O20040727000602

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509

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. Evelyn C 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
Evelyn C Clark, LPCC-S 527 N Meridian Rd, Youngstown, OH 44509-1227 Ph: (330) 259-8584	Evelyn C Clark, LPCC-S 527 N Meridian Rd, Youngstown, OH 44509-1227 Ph: (330) 797-0070

Reviews and Comments

Counselor in Youngstown, OH

Monique T Brown, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 978 Winona Dr, Youngstown, OH 44511 Phone: 330-716-8999
Alexis S Mcandrew, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074
Katalin Bacha, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 527 N Meridian Rd, Youngstown, OH 44509 Phone: 330-797-0074
Samantha A Cross, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 550 W Chalmers Ave, Youngstown, OH 44511 Phone: 330-797-0070
Jennifer Palumbo, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 310 Churchill Hubbard Rd, Suite A, Youngstown, OH 44505 Phone: 330-759-3040 Fax: 330-759-3070
Eleni N. Gage, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Belmont Ave, Youngstown, OH 44502 Phone: 330-744-2991 Fax: 330-744-2971

Evelyn C Clark, LPCC-S - Medicare Counselor in Youngstown, OH