Dr Michelle Olivette Clark, MD - Medicare Psychiatry & Neurology in Alameda, CA

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Dr Michelle Olivette Clark, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Alameda, California. Her current practice location is 1005 Atlantic Ave, Alameda, California. You can reach out to her office (for appointments etc.) via phone at (415) 474-7310.

Dr Michelle Olivette Clark is licensed to practice in California (license number A 31665) 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 1164551545.

Contact Information

Dr Michelle Olivette Clark, MD
1005 Atlantic Ave,
Alameda, CA 94501-1148
(415) 474-7310
Not Available

Map and Direction




Physician's Profile

Full NameDr Michelle Olivette Clark
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1005 Atlantic Ave, Alameda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164551545
  • Provider Enumeration Date: 03/03/2007
  • Last Update Date: 02/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587688304
  • Enrollment ID: I20060119000747

Medical Identifiers

Medical identifiers for Dr Michelle Olivette Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164551545NPI-NPPES
A 31665OtherCASTATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry A 31665 (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. Dr Michelle Olivette Clark allows following entities to bill medicare on her behalf.
Entity NameAlameda Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740332931
PECOS PAC ID: 3779494521
Enrollment ID: O20031110000764
Entity NameFelton Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144551581
PECOS PAC ID: 7719025550
Enrollment ID: O20091116000112

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. Dr Michelle Olivette 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 AddressPractice Location Address
Dr Michelle Olivette Clark, MD
4100 Redwood Rd Ste 20a-522,
Oakland, CA 94619-2363

Ph: (510) 842-8960		Dr Michelle Olivette Clark, MD
1005 Atlantic Ave,
Alameda, CA 94501-1148

Ph: (415) 474-7310

Reviews and Comments


Psychiatry & Neurology Doctors in Alameda, CA

Dr. Claudine Gabriella Dutaret, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2070 Clinton Ave Dept, Alameda, CA 94501
Phone: 510-522-3700    Fax: 888-375-2135
Kent C Eller, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501
Phone: 103-377-9505    Fax: 602-685-3808
Edward Leon Kaftarian, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501
Phone: 415-279-3879    
Robyn G Young, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 985 Atlantic Ave, Suite 300, Alameda, CA 94501
Phone: 510-748-5363    
Dr. Christopher K Wood, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: Telecare Corp, 1080 Marina Village Pkwy, Alameda, CA 94501
Phone: 209-300-8800    
Barbara A Mcquinn, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 985 Atlantic Ave, Suite 300, Alameda, CA 94501
Phone: 510-748-5363    Fax: 510-748-5425

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.