Dr William H Clark, PHD in Ridgewood, NJ - Medicare Clinical Psychologist Provider

Dr William H Clark, PHD is a medicare enrolled "Psychologist" provider in Ridgewood, New Jersey. He graduated from medical school in 1972 and has 52 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 530 N Maple Ave, Ridgewood, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 689-8293.

Dr William H Clark is licensed to practice in New Jersey (license number 35SI00115900) 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 1366464364.

Contact Information

	Dr William H Clark, PHD
	530 N Maple Ave, Ridgewood, NJ 07450-1610
	(201) 689-8293
	(201) 689-8293

Map and Direction

Healthcare Provider's Profile

Full Name	Dr William H Clark
Gender	Male
Speciality	Clinical Psychologist
Experience	52 Years
Location	530 N Maple Ave, Ridgewood, New Jersey
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 William H Clark graduated from medical school in 1972

NPI Data:

NPI Number: 1366464364
Provider Enumeration Date: 07/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3476592601
Enrollment ID: I20050427001055

Medical Identifiers

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

Identifier	Type	State	Issuer
1366464364	NPI	-	NPPES
0184705	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	35SI00115900 (New Jersey)	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 William H Clark allows following entities to bill medicare on his behalf.

Entity Name	William H. Clark, Ph.d.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851984280 PECOS PAC ID: 6406262898 Enrollment ID: O20210310000369

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 William H 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 William H Clark, PHD 311 Kenilworth Rd, Ridgewood, NJ 07450-5201 Ph: (201) 689-8293	Dr William H Clark, PHD 530 N Maple Ave, Ridgewood, NJ 07450-1610 Ph: (201) 689-8293

Reviews and Comments

Psychologist in Ridgewood, NJ

Dr. Jessica Kornwasser, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Prospect St, Suite 5-7, Ridgewood, NJ 07450 Phone: 201-447-2242 Fax: 201-447-4377
Dr. Andrea Kara Tesher, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 20 Wilsey Sq, Ridgewood, NJ 07450 Phone: 201-396-6793
Dr. Gabriela M Brown, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 80 S Maple Ave, Ridgewood, NJ 07450 Phone: 201-416-9392
Dr. Jennifer Romei, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 60 W Ridgewood Ave, 3rd Floor, Ridgewood, NJ 07450 Phone: 201-757-8234
Dr. Laura Epstein Rosen, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Prospect St Ste 6, Ridgewood, NJ 07450 Phone: 201-445-2929 Fax: 201-689-7323
Dr. Marshall Stephen Harth, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1172 E Ridgewood Ave, Suite 4, Ridgewood, NJ 07450 Phone: 201-684-0942 Fax: 201-684-0941
Dr. Ruth Lijtmaer, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 88 W Ridgewood Ave, Ridgewood, NJ 07450 Phone: 201-445-5552 Fax: 201-444-2598

Dr William H Clark, PHD - Medicare Psychologist in Ridgewood, NJ