Erika L Clark, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Worcester, Massachusetts. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Umass Memorial Medical Group Inc and her current practice location is
100 Century Dr, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 334-6392.
Erika L Clark is licensed to practice in Massachusetts (license number 10246) 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 1962957043.
Healthcare Provider's Profile
Full Name | Erika L Clark |
---|
Gender | Female |
---|
Speciality | Clinical Psychologist |
---|
Experience | 10 Years |
---|
Location | 100 Century Dr, Worcester, Massachusetts |
---|
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:
- Erika L Clark graduated from medical school in 2014
NPI Data:
- NPI Number: 1962957043
- Provider Enumeration Date: 08/18/2016
- Last Update Date: 11/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 8325326689
- Enrollment ID: I20161021000140
Medical Identifiers
Medical identifiers for Erika L Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962957043 | NPI | - | NPPES |
110118477A | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 10246 (Massachusetts) | Secondary |
103G00000X | Clinical Neuropsychologist | 10246 (Massachusetts) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Umass Memorial Medical Group Inc | 4284539891 | 1898 |
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. Erika L Clark allows following entities to bill medicare on her behalf.
Entity Name | Umass Memorial Medical Group Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
---|
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. Erika L 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 |
Erika L Clark, PHD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Erika L Clark, PHD 100 Century Dr, Worcester, MA 01606-1244 Ph: (508) 334-6392 |
Reviews and Comments