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

Dr Courtney Clark, PSYD is a medicare enrolled "Psychologist" provider in Fairfield, Connecticut. Her current practice location is 1559 Post Rd Ste 11, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 293-8634.

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
	1559 Post Rd Ste 11, Fairfield, CT 06824-5933
	(203) 293-8634
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Courtney Clark
Gender	Female
Speciality	Psychologist
Location	1559 Post Rd Ste 11, Fairfield, 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: 01/06/2025

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 1559 Post Rd Ste 11, Fairfield, CT 06824-5933 Ph: (203) 293-8634	Dr Courtney Clark, PSYD 1559 Post Rd Ste 11, Fairfield, CT 06824-5933 Ph: (203) 293-8634

Reviews and Comments

Psychologist in Fairfield, CT

Dr. Jennifer Rachel Pleasure, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1492 Unquowa Rd, Fairfield, CT 06824 Phone: 202-253-4475
Dr. Kim L Feinstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1088 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-368-9084 Fax: 203-334-4647
Dr. Whitney Buckley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2505 Black Rock Tpke Ste 2, Fairfield, CT 06825 Phone: 203-521-4608
Dr. Katherine Bothos, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 170 Post Rd, Suite 208, Fairfield, CT 06824 Phone: 203-445-3736
Dr. Lawrence Donald Ludwig, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 75 Hillside Rd, Fairfield, CT 06824 Phone: 203-256-9788 Fax: 203-374-7720
Dr. James Saluk, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1700 Post Rd Ste C18, Fairfield, CT 06824 Phone: 203-259-4048 Fax: 203-551-7643
Dr. Linda Michlin Ludwig, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 75 Hillside Rd, Fairfield, CT 06824 Phone: 203-256-9788 Fax: 203-374-7720

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