Ms Melissa Watson-clark, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Upper Marlboro, Maryland. Her current practice location is
107 Weymouth St, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 645-0677.
Ms Melissa Watson-clark is licensed to practice in Maryland (license number 13893) 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 1306080718.
Healthcare Provider's Profile
Full Name | Ms Melissa Watson-clark |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 107 Weymouth St, Upper Marlboro, Maryland |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306080718
- Provider Enumeration Date: 04/29/2009
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1153673272
- Enrollment ID: I20181017002379
Medical Identifiers
Medical identifiers for Ms Melissa Watson-clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306080718 | NPI | - | NPPES |
974745 | Medicaid | MD | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 13893 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 13893 (Maryland) | 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 Melissa Watson-clark allows following entities to bill medicare on her behalf.
Entity Name | Gardenwood Counseling Center Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1962984724 PECOS PAC ID: 9335491455 Enrollment ID: O20181017002292 |
---|
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 Melissa Watson-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 Melissa Watson-clark, LCSW-C 2814 Southwest Blvd, Charlotte, NC 28216-4235 Ph: (410) 645-0677 | Ms Melissa Watson-clark, LCSW-C 107 Weymouth St, Upper Marlboro, MD 20774-1744 Ph: (410) 645-0677 |
Reviews and Comments