Dr Courtney Clark, PSYD in Middletown, CT - Medicare Psychologist Provider

Dr Courtney Clark, PSYD is a medicare enrolled "Psychologist" provider in Middletown, Connecticut. Her current practice location is 675 Main St, Middletown, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 347-6971.

Dr Courtney Clark is licensed to practice in Connecticut (license number 4410) 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 1821795295.

Contact Information

	Dr Courtney Clark, PSYD
	675 Main St, Middletown, CT 06457-2732
	(860) 347-6971
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Courtney Clark
Gender	Female
Speciality	Psychologist
Location	675 Main St, Middletown, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821795295
Provider Enumeration Date: 02/15/2023
Last Update Date: 02/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1153770821
Enrollment ID: I20231207001448

Medical Identifiers

Medical identifiers for Dr Courtney Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821795295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	4410 (Connecticut)	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 Courtney Clark allows following entities to bill medicare on her behalf.

Entity Name	Community Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952591851 PECOS PAC ID: 0547169138 Enrollment ID: O20040102000412

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 Courtney 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 Courtney Clark, PSYD 675 Main St, Middletown, CT 06457-2732 Ph: (860) 347-6971	Dr Courtney Clark, PSYD 675 Main St, Middletown, CT 06457-2732 Ph: (860) 347-6971

Reviews and Comments

Psychologist in Middletown, CT

Kent Sunderland, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 675 Main Street, Middletown, CT 06457 Phone: 860-347-6971 Fax: 860-704-8034
Kathleen A Chapman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Dutton Home Silver St, River Valley Services, Middletown, CT 06457 Phone: 860-262-5358 Fax: 860-262-5356
Christopher S. Rigling, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 976 Newfield St, Middletown, CT 06457 Phone: 860-810-8099
Maria J Guglielmino, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8 Crescent St, Middletown, CT 06457 Phone: 860-344-6394 Fax: 860-344-6748
Dr. Gail Zuckerbraun, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 124 Court St Lowr Level, Middletown, CT 06457 Phone: 203-558-2381
Dr. Angela M Corrao, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7 Spring St, Middletown, CT 06457 Phone: 860-344-9558 Fax: 860-347-6265
Jessica Meyer, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 300 Plaza Middlesex, Roeder & Polansky Family Association, Middletown, CT 06457 Phone: 860-347-9911

Dr Courtney Clark, PSYD - Medicare Psychologist in Middletown, CT