Virginia Fowkes Clark, PHD in Stow, OH - Medicare Clinical Psychologist Provider

Virginia Fowkes Clark, PHD is a medicare enrolled "Psychologist" provider in Stow, Ohio. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Western Reserve Psychological Assoc Inc and her current practice location is 4833 Darrow Road Suite 101, Stow, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 650-5338.

Virginia Fowkes Clark is licensed to practice in Ohio (license number 5928) 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 1477511038.

Contact Information

	Virginia Fowkes Clark, PHD
	4833 Darrow Road Suite 101, Stow, OH 44224-1411
	(330) 650-5338
	(330) 342-3837

Map and Direction

Healthcare Provider's Profile

Full Name	Virginia Fowkes Clark
Gender	Female
Speciality	Clinical Psychologist
Experience	26 Years
Location	4833 Darrow Road Suite 101, Stow, Ohio
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:

Virginia Fowkes Clark graduated from medical school in 1998

NPI Data:

NPI Number: 1477511038
Provider Enumeration Date: 05/03/2006
Last Update Date: 12/08/2010

Medicare PECOS Information:

PECOS PAC ID: 8527167923
Enrollment ID: I20070626000626

Medical Identifiers

Medical identifiers for Virginia Fowkes Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477511038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	5928 (Ohio)	Primary
103T00000X	Psychologist	PS008980L (Pennsylvania)	Secondary
103TC0700X	Psychologist - Clinical	5928 (Ohio)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	5928 (Ohio)	Secondary
103TB0200X	Psychologist - Cognitive & Behavioral	5928 (Ohio)	Secondary
103TF0000X	Psychologist - Family	5928 (Ohio)	Secondary
103TH0100X	Psychologist - Health Service	5928 (Ohio)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Western Reserve Psychological Assoc Inc	4587644489	8

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. Virginia Fowkes Clark allows following entities to bill medicare on her behalf.

Entity Name	Western Reserve Psychological Assoc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063479590 PECOS PAC ID: 4587644489 Enrollment ID: O20040721001612

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. Virginia Fowkes 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
Virginia Fowkes Clark, PHD 4833 Darrow Road Suite 101, Stow, OH 44224-1411 Ph: (330) 650-5338	Virginia Fowkes Clark, PHD 4833 Darrow Road Suite 101, Stow, OH 44224-1411 Ph: (330) 650-5338

Reviews and Comments

Psychologist in Stow, OH

Lori Marie Wills, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4833 Darrow Rd Ste 100, Stow, OH 44224 Phone: 330-422-3255 Fax: 330-422-3256
Mary E. Hickcox, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4833 Darrow Rd, Suite 101, Stow, OH 44224 Phone: 330-650-5338 Fax: 330-342-3837
Richard J Shurell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4833 Darrow Road Suite 101, Western Reserve Psychological Associates Inc, Stow, OH 44224 Phone: 330-650-5338 Fax: 330-342-3837
Suzanne H Hetrick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4833 Darrow Road Suite 101, Stow, OH 44224 Phone: 330-650-5338 Fax: 330-342-3837
Dr. Jay Levine, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4833 Darrow Rd, Suite 101, Stow, OH 44224 Phone: 330-650-5338 Fax: 330-342-3837
Carole P Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4833 Darrow Road Suite 101, Stow, OH 44224 Phone: 330-650-5338 Fax: 330-342-3837
Donna Mcdonald, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 4833 Darrow Rd Ste 101, Stow, OH 44224 Phone: 330-650-5338

Virginia Fowkes Clark, PHD - Medicare Psychologist in Stow, OH