Dr Ivory M Roberts-clarke, PHD in Boston, MA - Medicare Psychologist Provider

Dr Ivory M Roberts-clarke, PHD is a medicare enrolled "Psychologist - Clinical" provider in Boston, Massachusetts. Her current practice location is 500 Columbia Rd, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 287-8000.

Dr Ivory M Roberts-clarke is licensed to practice in Massachusetts (license number 10446) 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 1134137201.

Contact Information

	Dr Ivory M Roberts-clarke, PHD
	500 Columbia Rd, Boston, MA 02125-2322
	(617) 287-8000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ivory M Roberts-clarke
Gender	Female
Speciality	Psychologist - Clinical
Location	500 Columbia Rd, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134137201
Provider Enumeration Date: 08/04/2006
Last Update Date: 03/10/2017

Medicare PECOS Information:

PECOS PAC ID: 8224489703
Enrollment ID: I20240109002923

Medical Identifiers

Medical identifiers for Dr Ivory M Roberts-clarke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134137201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	10446 (Massachusetts)	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 Ivory M Roberts-clarke allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20110725000191

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 Ivory M Roberts-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 Ivory M Roberts-clarke, PHD 500 Columbia Rd, Boston, MA 02125-2322 Ph: (617) 287-8000	Dr Ivory M Roberts-clarke, PHD 500 Columbia Rd, Boston, MA 02125-2322 Ph: (617) 287-8000

Reviews and Comments

Psychologist in Boston, MA

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Dr. Jefferson Martin Crowe, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8 Faneuil Hall Marketplace # 326, Boston, MA 02109 Phone: 303-304-6528

Dr Ivory M Roberts-clarke, PHD - Medicare Psychologist in Boston, MA