Michael William Clarke, PHD is a medicare enrolled "Psychologist" provider in Chico, California. His current practice location is
845 W East Ave, Chico, California. You can reach out to his office (for appointments etc.) via phone at
(530) 896-9400.
Michael William Clarke is licensed to practice in California (license number PSY15252) 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 1023167939.
Healthcare Provider's Profile
| Full Name | Michael William Clarke |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 845 W East Ave, Chico, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023167939
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 08/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 6901092725
- Enrollment ID: I20240528003008
Medical Identifiers
Medical identifiers for Michael William Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023167939 | NPI | - | NPPES |
| PSY 15252 | Other | CA | BOARD OF PSYCHOLOGY |
| MFT 20870 | Other | CA | BOARD OF BSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 106H00000X | Marriage & Family Therapist | MFT 20870 (California) | Secondary |
| 103T00000X | Psychologist | PSY15252 (California) | 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. Michael William Clarke allows following entities to bill medicare on his behalf.
| Entity Name | Northern Valley Indian Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295752384
PECOS PAC ID: 1557493723
Enrollment ID: O20140429000114 |
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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. Michael William Clarke 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 |
|---|
Michael William Clarke, PHD
207 N Butte St,
Willows, CA 95988-2803
Ph: (530) 330-8800 | Michael William Clarke, PHD
845 W East Ave,
Chico, CA 95926-2002
Ph: (530) 896-9400 |
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