Dr Jennifer Clark, PSYD - Medicare Psychologist in Cupertino, CA

Dr Jennifer Clark, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Cupertino, California. Her current practice location is 19000 Homestead Rd, Bldg. 2, Floor 1, Cupertino, California. You can reach out to her office (for appointments etc.) via phone at (408) 366-4463.

Dr Jennifer Clark is licensed to practice in California (license number 28626) 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 1396289666.

Contact Information

Dr Jennifer Clark, PSYD
19000 Homestead Rd, Bldg. 2, Floor 1,
Cupertino, CA 95014-0712
(408) 366-4463
Not Available



Healthcare Provider's Profile

Full NameDr Jennifer Clark
GenderFemale
SpecialityPsychologist - Clinical
Location19000 Homestead Rd, Cupertino, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396289666
  • Provider Enumeration Date: 12/06/2016
  • Last Update Date: 01/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7810278801
  • Enrollment ID: I20170105002276

Medical Identifiers

Medical identifiers for Dr Jennifer Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396289666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 28626 (California)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. Dr Jennifer Clark allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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› Verified 2 days ago

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. Dr Jennifer 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 AddressPractice Location Address
Dr Jennifer Clark, PSYD
19000 Homestead Rd, Bldg. 2, Floor 1,
Cupertino, CA 95014-0712

Ph: (408) 366-4463
Dr Jennifer Clark, PSYD
19000 Homestead Rd, Bldg. 2, Floor 1,
Cupertino, CA 95014-0712

Ph: (408) 366-4463

News Archive

FDA accepts NDA filing for Inspirion Delivery Technologies' investigational drug, MorphaBond ER

Inspirion Delivery Technologies, LLC, a specialty pharmaceutical company focused solely on the development of Abuse-Deterrent Formulations (ADFs) of opioid products, together with its financial partner Trygg Pharma Group, announced that the U.S. Food & Drug Administration has accepted for filing the New Drug Application ("NDA") submitted on November 21, 2014 for its investigational drug, MorphaBond ER, an extended-release (ER), abuse-deterrent formulation of morphine.

MU researchers develop new technique that could reduce safety concerns in laser dermatology

The first laser treatments used to treat skin conditions such as benign vascular birthmarks and port-wine stains were developed more than 40 years ago. Since then, clinicians and dermatologists have seen a rise in demand for minimally invasive laser-based treatments, including tattoo removal.

Marker found on aggressive prostate cancer cells could help guide treatments, new research shows

RESEARCHERS have discovered that a marker found on aggressive prostate cancer cells could also be used as a way to guide treatments to the cancer, according to new research presented at the National Cancer Research Institute Cancer Conference in Liverpool.

Algeta completes phase II trial with Alpharadin for treating bone metastases in advanced prostate cancer

Algeta ASA has announced that with the results of the BC1-04 study reported today it has completed its comprehensive phase II clinical program evaluating Alpharadin (radium-223) as a new treatment for bone metastases in patients with hormone-refractory prostate cancer (HRPC).

Read more News

› Verified 2 days ago


Psychologist in Cupertino, CA

Dr. Roger Johnson, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 19000 Homestead Rd, Cupertino, CA 95014
Phone: 408-366-4408    Fax: 408-366-4405
Dr. Steven Aldo Del Chiaro, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 20833 Stevens Creek Blvd Suite 100, Cupertino, CA 95014
Phone: 408-342-0160    
Dr. Helen Tait, PH.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 20395 Pacifica Dr Ste 101, Cupertino, CA 95014
Phone: 408-725-8043    Fax: 408-725-8063
Dr. Julia Beth Hadricky, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 19000 Homestead Rd, Cupertino, CA 95014
Phone: 813-382-4844    
Priya Mahurkar, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 20833 Stevens Creek Blvd, Suite 100, Cupertino, CA 95014
Phone: 408-342-0612    Fax: 408-342-0617
Dr. Catherine Mary Marino, PSY.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 19000 Homestead Rd, Building 2, Psychiatry Administration Suite, Cupertino, CA 95014
Phone: 650-283-9334    
Dr. Martin Howard Williams, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 19000 Homestead Rd, Cupertino, CA 95014
Phone: 408-366-4409    

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