Dr Laura Kathleen Clark, PSYD in Madison, WI - Medicare Psychologist Provider

Dr Laura Kathleen Clark, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Madison, Wisconsin. Her current practice location is 122 E Olin Ave, Suite 220, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 255-9119.

Dr Laura Kathleen Clark is licensed to practice in Wisconsin (license number 2982-57) 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 1730458159.

Contact Information

	Dr Laura Kathleen Clark, PSYD
	122 E Olin Ave, Suite 220, Madison, WI 53713-1487
	(608) 255-9119
	(608) 255-9219

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Laura Kathleen Clark
Gender	Female
Speciality	Psychologist - Clinical
Location	122 E Olin Ave, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730458159
Provider Enumeration Date: 12/14/2011
Last Update Date: 12/14/2011

Medicare PECOS Information:

PECOS PAC ID: 6305009861
Enrollment ID: I20201209002727

Medical Identifiers

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

Identifier	Type	State	Issuer
1730458159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2982-57 (Wisconsin)	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 Laura Kathleen Clark allows following entities to bill medicare on her behalf.

Entity Name	Laura Clark Counseling, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437753076 PECOS PAC ID: 7113339581 Enrollment ID: O20201209002686

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 Laura Kathleen 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 Laura Kathleen Clark, PSYD 122 E Olin Ave, Suite 220, Madison, WI 53713-1487 Ph: (608) 255-9119	Dr Laura Kathleen Clark, PSYD 122 E Olin Ave, Suite 220, Madison, WI 53713-1487 Ph: (608) 255-9119

Reviews and Comments

Psychologist in Madison, WI

Dr. Elliot Aaron Tebbe, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 419 S Mills St, Madison, WI 53715 Phone: 320-339-9992
Dr. Travis Fox, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4513 Vernon Blvd Ste 100, Madison, WI 53705 Phone: 503-730-0072
Blake Bettis, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1750 Fordem Ave Apt 704, Madison, WI 53704 Phone: 470-331-2534
Ms. Patricia Ann Hanson, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7633 Ganser Way, Ste 204, Madison, WI 53719 Phone: 608-829-1800 Fax: 608-829-1885
Dr. David C. Lee, PHD, JD Psychologist Medicare: Medicare Enrolled Practice Location: 1713 Camelot Dr, Madison, WI 53705 Phone: 608-301-1047 Fax: 608-301-1390
Mr. Harvey Hilbert Honig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 E Olin Ave, Ste 220, Madison, WI 53713 Phone: 608-255-9119 Fax: 608-255-9219
Alyssa Walsh, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Highland Ave, Madison, WI 53705 Phone: 608-263-3301

Dr Laura Kathleen Clark, PSYD - Medicare Psychologist in Madison, WI