Jerrod Clark, in Klawock, AK - Community Health Worker

Jerrod Clark, is a Community Health Worker based in Klawock, Alaska. Jerrod Clark is licensed to practice in * (Not Available) (license number ) and his current practice location is 6340 G Street, Klawock, Alaska. He can be reached at his office (for appointments etc.) via phone at (502) 226-0663.

NPI number for Jerrod Clark is 1437752698 and his current mailing address is 721 Stedman St, Ketchikan, Alaska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437752698.

Contact Information

	Jerrod Clark,
	6340 G Street, Klawock, AK 99925
	(502) 226-0663
	Not Available

Healthcare Provider's Profile

Full Name	Jerrod Clark
Gender	Male
Speciality	Community Health Worker
Location	6340 G Street, Klawock, Alaska
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1437752698
Provider Enumeration Date: 11/19/2020
Last Update Date: 02/09/2021

Medical Identifiers

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

Identifier	Type	State	Issuer
1437752698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
172V00000X	Community Health Worker	(* (Not Available))	Primary

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. Jerrod Clark is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jerrod Clark, 721 Stedman St, Ketchikan, AK 99901-6632 Ph: (907) 225-7825	Jerrod Clark, 6340 G Street, Klawock, AK 99925 Ph: (502) 226-0663

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