Miss Samantha Jeanine Clark, MS, COUNSELING PSYCH in Bakersfield, CA - Medicare Marriage & Family Therapist Provider

Miss Samantha Jeanine Clark, MS, COUNSELING PSYCH is a medicare enrolled "Marriage & Family Therapist" provider in Bakersfield, California. Her current practice location is 2621 Oswell St Ste 119, Bakersfield, California. You can reach out to her office (for appointments etc.) via phone at (661) 868-6750.

Miss Samantha Jeanine Clark is licensed to practice in California (license number 999031549) 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 1871154443.

Contact Information

	Miss Samantha Jeanine Clark, MS, COUNSELING PSYCH
	2621 Oswell St Ste 119, Bakersfield, CA 93306-3172
	(661) 868-6750
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miss Samantha Jeanine Clark
Gender	Female
Speciality	Marriage & Family Therapist
Location	2621 Oswell St Ste 119, Bakersfield, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871154443
Provider Enumeration Date: 06/25/2019
Last Update Date: 08/13/2020

Medicare PECOS Information:

PECOS PAC ID: 6608227202
Enrollment ID: I20240108006014

Medical Identifiers

Medical identifiers for Miss Samantha Jeanine Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871154443	NPI	-	NPPES
999031549	Other	CA	KERN BEHAVIORAL HEALTH AND RECOVERY SERVICES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	999031549 (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. Miss Samantha Jeanine Clark allows following entities to bill medicare on her behalf.

Entity Name	County Of Kern
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568658821 PECOS PAC ID: 7810887205 Enrollment ID: O20040324000553

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. Miss Samantha Jeanine 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
Miss Samantha Jeanine Clark, MS, COUNSELING PSYCH 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 Ph: (661) 868-6750	Miss Samantha Jeanine Clark, MS, COUNSELING PSYCH 2621 Oswell St Ste 119, Bakersfield, CA 93306-3172 Ph: (661) 868-6750

Reviews and Comments

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Miss Samantha Jeanine Clark, MS, COUNSELING PSYCH - Medicare Couples Therapy in Bakersfield, CA