Mr Tanner Clark, MS in Shawnee, OK - Medicare Marriage & Family Therapist Provider

Mr Tanner Clark, MS is a medicare enrolled "Marriage & Family Therapist" provider in Shawnee, Oklahoma. His current practice location is 326 W 11th St, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 262-0250.

Mr Tanner Clark is licensed to practice in * (Not Available) (license number ) 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 1427421668.

Contact Information

	Mr Tanner Clark, MS
	326 W 11th St, Shawnee, OK 74801-6710
	(580) 262-0250
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Tanner Clark
Gender	Male
Speciality	Marriage & Family Therapist
Location	326 W 11th St, Shawnee, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427421668
Provider Enumeration Date: 11/10/2015
Last Update Date: 11/10/2015

Medicare PECOS Information:

PECOS PAC ID: 8123498565
Enrollment ID: I20221230000178

Medical Identifiers

Medical identifiers for Mr Tanner Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427421668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	(* (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. Mr Tanner Clark allows following entities to bill medicare on his behalf.

Entity Name	Iowa Physicians Clinic Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363

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. Mr Tanner 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
Mr Tanner Clark, MS 1806 N Nail Pkwy, Moore, OK 73160-4636 Ph: (580) 262-0250	Mr Tanner Clark, MS 326 W 11th St, Shawnee, OK 74801-6710 Ph: (580) 262-0250

Reviews and Comments

Marriage & Family Therapist in Shawnee, OK

Elizabeth Richards, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 624 W Independence St, Suite 113, Shawnee, OK 74804 Phone: 405-765-3805
Mr. Mason Phillips, LMFT CANDIDATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1127 N Kickapoo Ave, Shawnee, OK 74801 Phone: 405-432-4132
Mr. Larry L. Roberts Ii, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1 W 10th St, Shawnee, OK 74801 Phone: 405-275-2222 Fax: 405-275-7740
Ms. Vanessa Nicole Brackett, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 326 W 11th St, Shawnee, OK 74801 Phone: 405-275-3340
Brooke Alane Runion, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 624 W Independence St Ste 113, Shawnee, OK 74804 Phone: 405-585-6413
Mrs. Bridget Gail Sudderth, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1601 N Kickapoo Ave Ste 900, Shawnee, OK 74804 Phone: 405-585-6413 Fax: 405-395-0255
Jana Day, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1127 N Kickapoo Ave, Shawnee, OK 74801 Phone: 405-214-0116 Fax: 877-334-8552

Mr Tanner Clark, MS - Medicare Couples Therapy in Shawnee, OK