Dr Annette V Clarke, PHD in San Francisco, CA - Medicare Psychologist Provider

Dr Annette V Clarke, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Francisco, California. Her current practice location is 1801 Vicente St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 681-3211.

Dr Annette V Clarke is licensed to practice in California (license number 32054) 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 1174923809.

Contact Information

	Dr Annette V Clarke, PHD
	1801 Vicente St, San Francisco, CA 94116-2923
	(415) 681-3211
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Annette V Clarke
Gender	Female
Speciality	Psychologist - Clinical
Location	1801 Vicente St, San Francisco, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174923809
Provider Enumeration Date: 08/29/2014
Last Update Date: 08/14/2024

Medicare PECOS Information:

PECOS PAC ID: 9032592571
Enrollment ID: I20220817000853

Medical Identifiers

Medical identifiers for Dr Annette V Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174923809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	32054 (California)	Secondary
103TC0700X	Psychologist - Clinical	32054 (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 Annette V Clarke allows following entities to bill medicare on her behalf.

Entity Name	Integrated Psychological Assessment Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750926374 PECOS PAC ID: 2769871268 Enrollment ID: O20211122001207

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 Annette V Clarke 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
Dr Annette V Clarke, PHD 910 D Street, Unit 151049, San Rafael, CA 94901-9991 Ph: () -	Dr Annette V Clarke, PHD 1801 Vicente St, San Francisco, CA 94116-2923 Ph: (415) 681-3211

Reviews and Comments

Psychologist in San Francisco, CA

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Dr. Andrea Samuels, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1947 Divisadero St Ste 1d, San Francisco, CA 94115 Phone: 510-847-4858
Timothy Kim, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1610 Scott St, San Francisco, CA 94115 Phone: 510-365-5066

Dr Annette V Clarke, PHD - Medicare Psychologist in San Francisco, CA