Annette Clarke, - Medicare Psychologist in San Rafael, CA

Annette Clarke, is a medicare enrolled "Psychologist" provider in San Rafael, California. Her current practice location is 3230 Kerner Blvd, San Rafael, California. You can reach out to her office (for appointments etc.) via phone at (415) 320-3015.

Annette Clarke is licensed to practice in California (license number 32054) 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 1174923809.

Contact Information

Annette Clarke,
3230 Kerner Blvd,
San Rafael, CA 94901-4840
(415) 320-3015
Not Available



Healthcare Provider's Profile

Full NameAnnette Clarke
GenderFemale
SpecialityPsychologist
Location3230 Kerner Blvd, San Rafael, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174923809
  • Provider Enumeration Date: 08/29/2014
  • Last Update Date: 01/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9032592571
  • Enrollment ID: I20220817000853

Medical Identifiers

Medical identifiers for Annette Clarke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174923809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 32054 (California)Primary
103TC0700XPsychologist - Clinical 32054 (California)Secondary

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. Annette Clarke allows following entities to bill medicare on her behalf.
Entity NameIntegrated Psychological Assessment Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750926374
PECOS PAC ID: 2769871268
Enrollment ID: O20211122001207

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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. Annette Clarke 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 AddressPractice Location Address
Annette Clarke,
3230 Kerner Blvd,
San Rafael, CA 94901-4840

Ph: () -
Annette Clarke,
3230 Kerner Blvd,
San Rafael, CA 94901-4840

Ph: (415) 320-3015

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Psychologist in San Rafael, CA

Miss Geeta Ann Davidson, M.S.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 20 N San Pedro Rd, San Rafael, CA 94903
Phone: 415-473-7637    
Dr. Leslie Frances Chatham, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903
Phone: 415-444-3522    Fax: 415-444-3019
Dr. Carol H Pollard, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 16 Jeanette Prandi Way, Marin Co Juvenile Hall, San Rafael, CA 94903
Phone: 415-499-6894    
Dr. Ann Gold Buscho, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 711 D St, Suite 207, San Rafael, CA 94901
Phone: 415-456-0952    
Dr. Boukje Elisabeth Eerkens, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1050 Northgate Dr Ste 12, San Rafael, CA 94903
Phone: 415-272-3406    Fax: 415-300-3086
Stephanie Lopez,
Psychologist
Medicare: Medicare Enrolled
Practice Location: 111 Smith Ranch Rd, San Rafael, CA 94903
Phone: 415-491-3127    
Dr. Ali Navarro, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 820 Las Gallinas Ave, San Rafael, CA 94903
Phone: 415-444-3522    Fax: 415-444-3019

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