Dr Thomas R Clark, PHD in Northville, MI - Medicare Psychologist Provider

Dr Thomas R Clark, PHD is a medicare enrolled "Psychologist - Clinical" provider in Northville, Michigan. His current practice location is 41820 6 Mile Rd, Suite 104, Northville, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 349-3131.

Dr Thomas R Clark is licensed to practice in Michigan (license number 6301001244) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407866981.

Contact Information

	Dr Thomas R Clark, PHD
	41820 6 Mile Rd, Suite 104, Northville, MI 48168-2763
	(248) 349-3131
	(248) 349-3232

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Thomas R Clark
Gender	Male
Speciality	Psychologist - Clinical
Location	41820 6 Mile Rd, Northville, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407866981
Provider Enumeration Date: 08/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0749284594
Enrollment ID: I20080530000782

Medical Identifiers

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

Identifier	Type	State	Issuer
1407866981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301001244 (Michigan)	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 Thomas R Clark allows following entities to bill medicare on his behalf.

Entity Name	Alpha Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831104678 PECOS PAC ID: 5395749147 Enrollment ID: O20060908000361

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 Thomas R 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 Thomas R Clark, PHD 41820 6 Mile Rd, Suite 104, Northville, MI 48168-2763 Ph: (248) 349-3131	Dr Thomas R Clark, PHD 41820 6 Mile Rd, Suite 104, Northville, MI 48168-2763 Ph: (248) 349-3131

Reviews and Comments

Psychologist in Northville, MI

Dr. Gail Diane Majcher, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 426 S Main St, Northville, MI 48167 Phone: 248-348-5050 Fax: 248-348-5050
Ms. Jennifer Lynn Felicelli, M.S., LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18913 Oak Leaf Ln, Northville, MI 48168 Phone: 248-760-3705
Mrs. Mary Dipaolo, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 North Center Street Suite 202, Hegira Northville Counseling Center, Northville, MI 48167 Phone: 248-347-3470 Fax: 248-347-2242
Mrs. Trystyn Mccarthy, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 120 W Main St Ste 301, Northville, MI 48167 Phone: 248-924-1070
Dr. Jean Gust, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 650 Griswold St, Northville, MI 48167 Phone: 248-470-3346 Fax: 248-912-0208
Ms. Tara A Baluck, M.S., T.L.L.P Psychologist Medicare: Not Enrolled in Medicare Practice Location: 650 Griswold St, Northville, MI 48167 Phone: 248-912-0080
Mr. Russell Lee Dore, EDD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 E Main St, #201, Northville, MI 48167 Phone: 248-348-1100 Fax: 248-348-3410

Dr Thomas R Clark, PHD - Medicare Psychologist in Northville, MI