Nathaniel P Clark, LCPC-C in Portland, ME - Medicare Counselor Provider

Nathaniel P Clark, LCPC-C is a medicare enrolled "Counselor - Professional" provider in Portland, Maine. His current practice location is 11 Baxter Blvd, Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 774-8700.

Nathaniel P Clark is licensed to practice in Maine (license number CC5420) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891155792.

Contact Information

	Nathaniel P Clark, LCPC-C
	11 Baxter Blvd, Portland, ME 04101-1801
	(207) 774-8700
	(207) 422-7268

Map and Direction

Healthcare Provider's Profile

Full Name	Nathaniel P Clark
Gender	Male
Speciality	Counselor - Professional
Location	11 Baxter Blvd, Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891155792
Provider Enumeration Date: 03/04/2016
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 5496192809
Enrollment ID: I20240321000350

Medical Identifiers

Medical identifiers for Nathaniel P Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891155792	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC5420 (Maine)	Primary
101Y00000X	Counselor	XL4658 (Maine)	Secondary

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. Nathaniel P Clark allows following entities to bill medicare on his behalf.

Entity Name	The Counseling Center Of Nashua Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144275389 PECOS PAC ID: 3274523758 Enrollment ID: O20201209003064

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. Nathaniel P 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
Nathaniel P Clark, LCPC-C 11 Baxter Blvd, Portland, ME 04101-1801 Ph: (207) 774-8700	Nathaniel P Clark, LCPC-C 11 Baxter Blvd, Portland, ME 04101-1801 Ph: (207) 774-8700

Reviews and Comments

Counselor in Portland, ME

Maria A Moustrouphis, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Vermont Ave, Portland, ME 04103 Phone: 207-409-9487
Katherine P Whittemore, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Forest Ave, Portland, ME 04103 Phone: 207-242-0443
Scott W. Hutcherson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Lancaster St, Portland, ME 04101 Phone: 207-874-1030 Fax: 207-874-1044
Emily-anne Garland, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 576 Saint John St, Portland, ME 04102 Phone: 207-780-0020 Fax: 207-780-0022
Michael H Freeman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Anderson St, Portland, ME 04101 Phone: 207-775-5671 Fax: 207-871-1243
David R Arnold, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Exchange St, Portland, ME 04101 Phone: 207-209-5067
Rani Wilson, LCPC-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Washington Ave Ste 100, Portland, ME 04103 Phone: 207-871-1200 Fax: 207-871-1232

Nathaniel P Clark, LCPC-C - Medicare Counselor in Portland, ME