Ms Penny Louise Clark, MA LPC in Jersey City, NJ

Ms Penny Louise Clark, MA LPC is a medicare enrolled "Counselor - Professional" provider in Jersey City, New Jersey. Her current practice location is 221 Palisade Ave, Palisade Behavioral Care, Jersey City, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 656-3116.

Ms Penny Louise Clark is licensed to practice in New Jersey (license number 37PC00319000) 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 1568572790.

Contact Information

	Ms Penny Louise Clark, MA LPC
	221 Palisade Ave, Palisade Behavioral Care, Jersey City, NJ 07306
	(201) 656-3116
	(201) 656-9044

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Penny Louise Clark
Gender	Female
Speciality	Counselor - Professional
Location	221 Palisade Ave, Jersey City, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568572790
Provider Enumeration Date: 08/30/2006
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1658714233
Enrollment ID: I20240212000088

Medical Identifiers

Medical identifiers for Ms Penny Louise Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568572790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	37PC00319000 (New Jersey)	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 Penny Louise Clark allows following entities to bill medicare on her behalf.

Entity Name	New Jersey Behavioral Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538744297 PECOS PAC ID: 4284001025 Enrollment ID: O20221108000033

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 Penny Louise 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 Penny Louise Clark, MA LPC 4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630 Ph: () -	Ms Penny Louise Clark, MA LPC 221 Palisade Ave, Palisade Behavioral Care, Jersey City, NJ 07306 Ph: (201) 656-3116

Reviews and Comments

Counselor in Jersey City, NJ

Barry Wasser, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Van Reipen Ave, Jersey City, NJ 07306 Phone: 201-418-8601
Ashley Derdzikowski, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Pavonia Ave, Jersey City, NJ 07306 Phone: 732-228-8060 Fax: 201-222-7676
Caroline Nelson, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Martin Luther King Jr Dr, Jersey City, NJ 07305 Phone: 201-936-2918 Fax: 201-200-1826
Mr. Jeffery Matlin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Palisade Ave, Jersey City, NJ 07306 Phone: 201-656-3116 Fax: 201-656-9044
Mrs. Martha Jane Malana, MA,ATR-BC,LCAT,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Palisade Ave, Jersey City, NJ 07306 Phone: 914-673-8785
Ms. Aynur Fox, LPC, LCADC, ACS, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Hudson St Fl 21, Jersey City, NJ 07302 Phone: 201-706-7135
Dr. Victor Eleazar Tuazon, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2039 John F Kennedy Blvd, Jersey City, NJ 07305 Phone: 201-254-7779

Ms Penny Louise Clark, MA LPC - Medicare Counselor in Jersey City, NJ