Vickie Diane Clark, in Midwest City, OK - Medicare Counselor Provider

Vickie Diane Clark, is a medicare enrolled "Counselor" provider in Midwest City, Oklahoma. Her current practice location is 10905 Ne 10th St, Midwest City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 791-1995.

Vickie Diane Clark is licensed to practice in * (Not Available) (license number ) 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 1760765374.

Contact Information

	Vickie Diane Clark,
	10905 Ne 10th St, Midwest City, OK 73130-2209
	(918) 791-1995
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vickie Diane Clark
Gender	Female
Speciality	Counselor
Location	10905 Ne 10th St, Midwest City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760765374
Provider Enumeration Date: 09/21/2011
Last Update Date: 09/21/2011

Medicare PECOS Information:

PECOS PAC ID: 6608224753
Enrollment ID: I20231129003074

Medical Identifiers

Medical identifiers for Vickie Diane Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760765374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Vickie Diane Clark allows following entities to bill medicare on her behalf.

Entity Name	Alliance Mental Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053602649 PECOS PAC ID: 0345670733 Enrollment ID: O20200427002009

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. Vickie Diane 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
Vickie Diane Clark, 10905 Nw 10th St., Midwest City, OK 74344 Ph: (918) 791-1995	Vickie Diane Clark, 10905 Ne 10th St, Midwest City, OK 73130-2209 Ph: (918) 791-1995

Reviews and Comments

Counselor in Midwest City, OK

Mrs. Michelle Lee Gaines, MA, LBP, CCRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2801 Parklawn Dr Ste 303, Midwest City, OK 73110 Phone: 405-610-3644 Fax: 405-610-3647
Quantae Veales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8821 Oakridge Dr, Midwest City, OK 73110 Phone: 405-834-7681
Karen Hood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 E Kittyhawk Dr, Midwest City, OK 73110 Phone: 985-240-9640
Amelia Fraser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 S Air Depot Blvd Ste O, Midwest City, OK 73110 Phone: 405-931-9811 Fax: 405-561-4095
Candace R Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1390 S Douglas Blvd, Ste 102, Midwest City, OK 73130 Phone: 405-455-5312 Fax: 405-455-5279
Shiela R Williams, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1625 Melody Dr, Midwest City, OK 73130 Phone: 405-761-9183
Mr. Damon L Guthery, B.S., M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E Cardinal Pl, Midwest City, OK 73130 Phone: 405-615-0706

Vickie Diane Clark, - Medicare Counselor in Midwest City, OK