Mrs Melissa Alexandria Clark, OTR/L, CLT in Rochester, NY - Medicare Occupational Therapist Provider

Mrs Melissa Alexandria Clark, OTR/L, CLT is a medicare enrolled "Occupational Therapist" provider in Rochester, New York. Her current practice location is 1328 University Ave, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 749-4670.

Mrs Melissa Alexandria Clark is licensed to practice in New York (license number 012689-1) 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 1215574892.

Contact Information

	Mrs Melissa Alexandria Clark, OTR/L, CLT
	1328 University Ave, Rochester, NY 14607-1622
	(585) 749-4670
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Melissa Alexandria Clark
Gender	Female
Speciality	Occupational Therapist
Location	1328 University Ave, Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215574892
Provider Enumeration Date: 12/03/2019
Last Update Date: 06/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6103281084
Enrollment ID: I20230427002474

Medical Identifiers

Medical identifiers for Mrs Melissa Alexandria Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215574892	NPI	-	NPPES
012689-1	Other	NY	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	012689-1 (New York)	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. Mrs Melissa Alexandria Clark allows following entities to bill medicare on her behalf.

Provider Name	Melissa Clark Ot, Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1265132567 PECOS PAC ID: 4385009265 Enrollment ID: O20230427002348

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. Mrs Melissa Alexandria 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
Mrs Melissa Alexandria Clark, OTR/L, CLT 1328 University Ave, Rochester, NY 14607-1622 Ph: (585) 363-5255	Mrs Melissa Alexandria Clark, OTR/L, CLT 1328 University Ave, Rochester, NY 14607-1622 Ph: (585) 749-4670

Reviews and Comments

Occupational Therapist in Rochester, NY

Tania K Williams, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 Hartwood Dr, Rochester, NY 14623 Phone: 585-414-3005
Ms. Ryann M Scheele, MSOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3399 Winton Rd S, Rochester, NY 14623 Phone: 585-334-6000
Margaret Caroline Dilella, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 254 Alexander St, Rochester, NY 14607 Phone: 585-461-1991
Caitrin Rennoldson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Elmwood Ave Ste 100, Rochester, NY 14620 Phone: 585-271-0761
Mrs. Andrea H. Gerhardt, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 W Broad St, Rochester, NY 14614 Phone: 585-705-4297
Katie Schweitzer, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-3797
Heidi Lynn Goldwasser, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3399 Winton Rd S, Rochester, NY 14623 Phone: 585-334-6000 Fax: 585-334-2858

Mrs Melissa Alexandria Clark, OTR/L, CLT - Medicare Occupational Therapist in Rochester, NY