Shauna M Clark, in Keene, NH - Medicare Counselor Provider

Shauna M Clark, is a medicare enrolled "Counselor - Mental Health" provider in Keene, New Hampshire. Her current practice location is 40 Avon St, Keene, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 357-4400.

Shauna M Clark is licensed to practice in New Hampshire (license number 1138) 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 1780139097.

Contact Information

	Shauna M Clark,
	40 Avon St, Keene, NH 03431-3516
	(603) 357-4400
	(603) 357-9648

Map and Direction

Healthcare Provider's Profile

Full Name	Shauna M Clark
Gender	Female
Speciality	Counselor - Mental Health
Location	40 Avon St, Keene, New Hampshire
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780139097
Provider Enumeration Date: 08/17/2016
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 7416392550
Enrollment ID: I20240228004747

Medical Identifiers

Medical identifiers for Shauna M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780139097	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	1138 (New Hampshire)	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. Shauna M Clark allows following entities to bill medicare on her behalf.

Entity Name	Monadnock Family Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649331224 PECOS PAC ID: 4587681978 Enrollment ID: O20051025000703

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. Shauna M 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
Shauna M Clark, 64 Main St, Keene, NH 03431-3701 Ph: (603) 283-1570	Shauna M Clark, 40 Avon St, Keene, NH 03431-3516 Ph: (603) 357-4400

Reviews and Comments

Counselor in Keene, NH

Peter Loiacono, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Roxbury St, Keene, NH 03431 Phone: 603-499-1775
Mr. Nathan Andrew Manlove, LICSW Counselor Medicare: Accepting Medicare Assignments Practice Location: Mountain Wellness Associates, 163 Washington Street, Keene, NH 03431 Phone: 603-283-0195 Fax: 603-283-0197
Lori Lohrmann, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Avon St, Keene, NH 03431 Phone: 603-357-4400
Jodi Snow, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Main St, Suite 1, Keene, NH 03431 Phone: 603-762-0178
Tracy Grissom, LCMHC, MLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Railroad St, Keene, NH 03431 Phone: 603-354-5400
Mrs. Morgan Taylor Swift, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Washington St, Keene, NH 03431 Phone: 603-412-2815 Fax: 603-593-3134
Dr. Gary Edward Wehrwein, DMIN Counselor Medicare: Not Enrolled in Medicare Practice Location: 19 Federal Street, Keene, NH 03431 Phone: 603-355-2244 Fax: 603-355-2299

Shauna M Clark, - Medicare Counselor in Keene, NH