Dr Jeffrey P Clark, PSYD in Sheridan, WY - Medicare Clinical Psychologist Provider

Dr Jeffrey P Clark, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sheridan, Wyoming. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Big Horn Psychological Services Lc and his current practice location is 339 W Loucks St, Sheridan, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 674-4462.

Dr Jeffrey P Clark is licensed to practice in Wyoming (license number 409) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063403822.

Contact Information

	Dr Jeffrey P Clark, PSYD
	339 W Loucks St, Sheridan, WY 82801-4121
	(307) 674-4462
	(307) 674-4552

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey P Clark
Gender	Male
Speciality	Clinical Psychologist
Experience	21 Years
Location	339 W Loucks St, Sheridan, Wyoming
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jeffrey P Clark graduated from medical school in 2003

NPI Data:

NPI Number: 1063403822
Provider Enumeration Date: 11/02/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0941303499
Enrollment ID: I20070321000393

Medical Identifiers

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

Identifier	Type	State	Issuer
1063403822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	409 (Wyoming)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Big Horn Psychological Services Lc	3375788839	5

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 Jeffrey P Clark allows following entities to bill medicare on his behalf.

Entity Name	Big Horn Psychological Services Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336473859 PECOS PAC ID: 3375788839 Enrollment ID: O20130404000150

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 Jeffrey P 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 Jeffrey P Clark, PSYD 1969 S Sheridan Ave, Sheridan, WY 82801-6108 Ph: (307) 672-7481	Dr Jeffrey P Clark, PSYD 339 W Loucks St, Sheridan, WY 82801-4121 Ph: (307) 674-4462

Reviews and Comments

Psychologist in Sheridan, WY

Eric R. Askins, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1408 Odell Ct Unit C, Sheridan, WY 82801 Phone: 307-672-4689 Fax: 307-672-2469
Dr. Grant Griffin Boostrom, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd # 116b, Sheridan, WY 82801 Phone: 307-675-3834
Dr. Kaitlyn Camilla Card, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Rd, Sheridan, WY 82801 Phone: 307-675-3816
James William Wyssmann, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1949 Sugarland Dr Ste 218, Sheridan, WY 82801 Phone: 307-752-0677 Fax: 307-674-1825
Dr. Kurt P Benson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1898 Fort Road, Sheridan Va Medical Center, Sheridan, WY 82807 Phone: 307-675-3349
Dr. Alicia Clark, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 339 W Loucks St, Sheridan, WY 82801 Phone: 307-674-4462

Dr Jeffrey P Clark, PSYD - Medicare Psychologist in Sheridan, WY