Ms Julie Kathleen Clark, MS, LPC, CRC, MITS - Medicare Counselor in Petoskey, MI

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Ms Julie Kathleen Clark, MS, LPC, CRC, MITS is a medicare enrolled "Counselor - Professional" provider in Petoskey, Michigan. Her current practice location is 220 Bay St, Petoskey, Michigan. You can reach out to her office (for appointments etc.) via phone at (231) 622-5061.

Ms Julie Kathleen Clark is licensed to practice in Michigan (license number 6401011220) 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 1164892873.

Contact Information

Ms Julie Kathleen Clark, MS, LPC, CRC, MITS
220 Bay St,
Petoskey, MI 49770-2473
(231) 622-5061
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Julie Kathleen Clark
GenderFemale
SpecialityCounselor - Professional
Location220 Bay St, Petoskey, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164892873
  • Provider Enumeration Date: 10/07/2015
  • Last Update Date: 10/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1254789597
  • Enrollment ID: I20231128001698

Medical Identifiers

Medical identifiers for Ms Julie Kathleen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164892873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 6401011220 (Michigan)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 Julie Kathleen Clark allows following entities to bill medicare on her behalf.
Entity NameRichard Kneip, Ph.d., P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679739700
PECOS PAC ID: 4880768415
Enrollment ID: O20080731000086
Entity NameCollective Impact Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083317010
PECOS PAC ID: 8527416866
Enrollment ID: O20231128001650

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 Julie Kathleen 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 AddressPractice Location Address
Ms Julie Kathleen Clark, MS, LPC, CRC, MITS
220 Bay Street,
Petoskey, MI 49770

Ph: (231) 622-5061		Ms Julie Kathleen Clark, MS, LPC, CRC, MITS
220 Bay St,
Petoskey, MI 49770-2473

Ph: (231) 622-5061

Reviews and Comments


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Matthew Mckelvey, CADC-D
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Phone: 231-487-2215    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.