Heather M Clark, PHD, CCC-SLP is a medicare enrolled "Speech-language Pathologist" physician in Rochester, Minnesota. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Mayo Clinic and her current practice location is
200 1st St Sw, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 284-2511.
Heather M Clark is licensed to practice in Minnesota (license number 8601) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730193269.
Physician's Profile
| Full Name | Heather M Clark |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 28 Years |
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| Location | 200 1st St Sw, Rochester, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Heather M Clark graduated from medical school in 1996
NPI Data:
- NPI Number: 1730193269
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 08/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 8921150756
- Enrollment ID: I20101124000996
Medical Identifiers
Medical identifiers for Heather M Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730193269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 8601 (Minnesota) | Secondary |
| 235Z00000X | Speech-language Pathologist | 3963 (North Carolina) | Secondary |
| 235Z00000X | Speech-language Pathologist | 8601 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mayo Clinic | 6507778255 | 4266 |
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. Heather M Clark allows following entities to bill medicare on her behalf.
| Entity Name | Mayo Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922074434
PECOS PAC ID: 6507778255
Enrollment ID: O20031103000285 |
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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. Heather M 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 |
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Heather M Clark, PHD, CCC-SLP
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Heather M Clark, PHD, CCC-SLP
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 |
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