Anna Pfau Clark, MS in Lino Lakes, MN - Medicare Speech-Language Pathologist Provider

Anna Pfau Clark, MS is a medicare enrolled "Speech-language Pathologist" provider in Lino Lakes, Minnesota. Her current practice location is 6776 Lake Dr Ste 220, Lino Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 784-7007.

Anna Pfau Clark is licensed to practice in Minnesota (license number 9766) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841747508.

Contact Information

	Anna Pfau Clark, MS
	6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192
	(651) 784-7007
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Anna Pfau Clark
Gender	Female
Speciality	Speech-language Pathologist
Location	6776 Lake Dr Ste 220, Lino Lakes, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841747508
Provider Enumeration Date: 09/09/2016
Last Update Date: 06/17/2022

Medicare PECOS Information:

PECOS PAC ID: 9335423722
Enrollment ID: I20170302002108

Medical Identifiers

Medical identifiers for Anna Pfau Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841747508	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	9766 (Minnesota)	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. Anna Pfau Clark allows following entities to bill medicare on her behalf.

Provider Name	Advance Speech Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1215144654 PECOS PAC ID: 5496064644 Enrollment ID: O20151029000276

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. Anna Pfau 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
Anna Pfau Clark, MS 6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192 Ph: (651) 784-7007	Anna Pfau Clark, MS 6776 Lake Dr Ste 220, Lino Lakes, MN 55014-1192 Ph: (651) 784-7007

Reviews and Comments

Speech-Language Pathologist in Lino Lakes, MN

Emily Goldhammer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992
Advance Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, Lino Lakes, MN 55014 Phone: 651-784-7007
Shana Banas, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007
Kaylen Whetstone, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992
Advance Therapy Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992
Renee Deborah Therrien Bouchareb, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014 Phone: 651-784-7007
Ms. Judith Christensen Gelderman, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014 Phone: 651-784-7007 Fax: 651-784-7992

Anna Pfau Clark, MS - Medicare Speech-Language Pathologist in Lino Lakes, MN