Ms Leslie A Clark, LPC, CSAC, CIR, ICS- in Oak Creek, WI

Ms Leslie A Clark, LPC, CSAC, CIR, ICS- is a medicare enrolled "Counselor - Mental Health" provider in Oak Creek, Wisconsin. Her current practice location is 7071 S. 13th Street, Suite 100, Oak Creek, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 367-6698.

Ms Leslie A Clark is licensed to practice in Wisconsin (license number 5204-125) 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 1497092704.

Contact Information

	Ms Leslie A Clark, LPC, CSAC, CIR, ICS-
	7071 S. 13th Street, Suite 100, Oak Creek, WI 53154
	(414) 367-6698
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Leslie A Clark
Gender	Female
Speciality	Counselor - Mental Health
Location	7071 S. 13th Street, Oak Creek, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497092704
Provider Enumeration Date: 01/07/2013
Last Update Date: 04/17/2024

Medicare PECOS Information:

PECOS PAC ID: 9335590744
Enrollment ID: I20240110002921

Medical Identifiers

Medical identifiers for Ms Leslie A Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497092704	NPI	-	NPPES
100027595	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	16215-132 (Wisconsin)	Secondary
104100000X	Social Worker	1180-226 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	5204-125 (Wisconsin)	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 Leslie A Clark allows following entities to bill medicare on her behalf.

Entity Name	Red Oak Counseling Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609890391 PECOS PAC ID: 5294704334 Enrollment ID: O20040927000490

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 Leslie A 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 Leslie A Clark, LPC, CSAC, CIR, ICS- 11011 W. North Ave., Apt.309, Wauwatosa, WI 53226 Ph: (414) 367-6698	Ms Leslie A Clark, LPC, CSAC, CIR, ICS- 7071 S. 13th Street, Suite 100, Oak Creek, WI 53154 Ph: (414) 367-6698

Reviews and Comments

Counselor in Oak Creek, WI

Amanda Volbrecht, LPC, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6419 S Howell Ave, Oak Creek, WI 53154 Phone: 414-810-4844
Ashley Sharpe, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7280 S 13th St Ste 202, Oak Creek, WI 53154 Phone: 262-251-1112
Mark T Machak, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7280 S 13th St Ste 103, Oak Creek, WI 53154 Phone: 262-334-4340 Fax: 262-334-4341
Laelle Lanier, MS, LPC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7280 S 13th St Ste 202, Oak Creek, WI 53154 Phone: 262-251-1112
Kevin Wahl, Counselor Medicare: Medicare Enrolled Practice Location: 1021 E Fitzsimmons Rd, Oak Creek, WI 53154 Phone: 414-975-2843
Mrs. Abbey Dawn Kurtz, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8825 S Howell Ave Ste 200, Oak Creek, WI 53154 Phone: 414-215-7554
Daniel Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 E Parkway Estates Dr, Oak Creek, WI 53154 Phone: 414-544-2553

Ms Leslie A Clark, LPC, CSAC, CIR, ICS- - Medicare Counselor in Oak Creek, WI