Dr Alexandra Leigh Clark, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in San Diego, California. Her current practice location is
3350 La Jolla Village Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(858) 552-8585.
Dr Alexandra Leigh Clark is licensed to practice in * (Not Available) (license number ) 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 1831755537.
Healthcare Provider's Profile
Full Name | Dr Alexandra Leigh Clark |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 3350 La Jolla Village Dr, San Diego, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831755537
- Provider Enumeration Date: 05/17/2019
- Last Update Date: 05/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 5799148433
- Enrollment ID: I20230829002849
Medical Identifiers
Medical identifiers for Dr Alexandra Leigh Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831755537 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (* (Not Available)) | Secondary |
103G00000X | Clinical Neuropsychologist | (* (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. Dr Alexandra Leigh Clark allows following entities to bill medicare on her behalf.
Entity Name | Austin Neuropsychology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871667808 PECOS PAC ID: 7618074766 Enrollment ID: O20070524000132 |
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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. Dr Alexandra Leigh 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 |
Dr Alexandra Leigh Clark, PHD 3350 La Jolla Village Dr, San Diego, CA 92161-0002 Ph: (858) 552-8585 | Dr Alexandra Leigh Clark, PHD 3350 La Jolla Village Dr, San Diego, CA 92161-0002 Ph: (858) 552-8585 |
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