Heidi S Clark, MA, CCC-SLP in Laramie, WY - Medicare Speech-Language Pathologist Provider

Heidi S Clark, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Laramie, Wyoming. Her current practice location is 1000 E University Ave Dept 3311, Laramie, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 766-6426.

Heidi S Clark is licensed to practice in * (Not Available) (license number ) 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 1649520560.

Contact Information

	Heidi S Clark, MA, CCC-SLP
	1000 E University Ave Dept 3311, Laramie, WY 82071-2001
	(307) 766-6426
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Heidi S Clark
Gender	Female
Speciality	Speech-language Pathologist
Location	1000 E University Ave Dept 3311, Laramie, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649520560
Provider Enumeration Date: 09/18/2012
Last Update Date: 10/27/2020

Medicare PECOS Information:

PECOS PAC ID: 2567873466
Enrollment ID: I20201125001485

Medical Identifiers

Medical identifiers for Heidi S Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649520560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Heidi S Clark allows following entities to bill medicare on her behalf.

Provider Name	University Of Wyoming
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770681439 PECOS PAC ID: 4183607054 Enrollment ID: O20040610001637

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. Heidi S 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
Heidi S Clark, MA, CCC-SLP 1000 E University Ave Dept 3311, Laramie, WY 82071-2001 Ph: (307) 766-6426	Heidi S Clark, MA, CCC-SLP 1000 E University Ave Dept 3311, Laramie, WY 82071-2001 Ph: (307) 766-6426

Reviews and Comments

Speech-Language Pathologist in Laramie, WY

Karen Richard, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 503 S 18th St, Laramie, WY 82070 Phone: 307-742-3728
Mrs. Michelle Leanne Coulter, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1771 Centennial Drive, Laramie, WY 82070 Phone: 307-742-3571
Corri Sandoval, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 503 S 18th St, Laramie, WY 82070 Phone: 307-742-3728
Ms. Shelley Elaine Barton, M.S., CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: University Of Wyoming Speech & Hearing Clinic, Dept. 3311, 1000 E. University Avenue, Laramie, WY 82071 Phone: 307-766-6426 Fax: 307-766-6829
Amy Kent, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1771 Centennial Dr, Laramie, WY 82070 Phone: 307-742-3571
Holly Bruch, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 715 Shield St, Laramie, WY 82072 Phone: 307-742-3571 Fax: 307-742-6397
Ms. Marcia Bell Kelley, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1000 E University Ave, Dept. 3311, Laramie, WY 82071 Phone: 307-766-6426 Fax: 307-766-6829

Heidi S Clark, MA, CCC-SLP - Medicare Speech-Language Pathologist in Laramie, WY