Dr Molly Clark, PHD in Jackson, MS - Medicare Clinical Psychologist Provider

Dr Molly Clark, PHD is a medicare enrolled "Psychologist - Counseling" provider in Jackson, Mississippi. She graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice State Of Mississippi - University Of Mississippi Medical Center and her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 815-4778.

Dr Molly Clark is licensed to practice in Mississippi (license number 46810) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992900591.

Contact Information

	Dr Molly Clark, PHD
	2500 N State St, Jackson, MS 39216-4500
	(601) 815-4778
	(601) 984-5420

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Molly Clark
Gender	Female
Speciality	Clinical Psychologist
Experience	15 Years
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Molly Clark graduated from medical school in 2009

NPI Data:

NPI Number: 1992900591
Provider Enumeration Date: 06/15/2007
Last Update Date: 02/13/2014

Medicare PECOS Information:

PECOS PAC ID: 9739212010
Enrollment ID: I20100806000686

Medical Identifiers

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

Identifier	Type	State	Issuer
1992900591	NPI	-	NPPES
01289231	Medicaid	MS
302I681423	Other	MS	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	(* (Not Available))	Secondary
103TC1900X	Psychologist - Counseling	46810 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
State Of Mississippi - University Of Mississippi Medical Center	1850293036	782

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 Molly Clark allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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 Molly 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 Molly Clark, PHD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-4778	Dr Molly Clark, PHD 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-4778

Reviews and Comments

Psychologist in Jackson, MS

Dr. Elizabeth Nosen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471
Robert Adams, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 N State St, Ste 400, Jackson, MS 39202 Phone: 601-944-1717 Fax: 601-944-9780
Dr. Kevin Del Ben, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5888 Fax: 601-984-5842
Dr. Lashun A. Young, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471
Ann Atkinson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5345 Highway 18 W, Jackson, MS 39209 Phone: 601-927-0188
Dr. Matthew T. Tull, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Department Of Psychiatry, Jackson, MS 39216 Phone: 601-815-6518
Patricia Logan, PH.D Psychologist Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5863

Dr Molly Clark, PHD - Medicare Psychologist in Jackson, MS