Dr Johnette Elisse Clark, PHD - Medicare Psychologist in Atchison, KS

Dr Johnette Elisse Clark, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Atchison, Kansas. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Guidance Center, Inc and her current practice location is 1301 N 2nd St, Atchison, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 367-1593.

Dr Johnette Elisse Clark is licensed to practice in Kansas (license number LP 1021) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801963137.

Contact Information

Dr Johnette Elisse Clark, PHD
1301 N 2nd St,
Atchison, KS 66002-1202
(913) 367-1593
(913) 367-1627



Healthcare Provider's Profile

Full NameDr Johnette Elisse Clark
GenderFemale
SpecialityClinical Psychologist
Experience28 Years
Location1301 N 2nd St, Atchison, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Johnette Elisse Clark graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1801963137
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4688682313
  • Enrollment ID: I20060322000515

Medical Identifiers

Medical identifiers for Dr Johnette Elisse Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801963137NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent LP 1021 (Kansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Guidance Center, Inc650785906313

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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 Johnette Elisse Clark allows following entities to bill medicare on her behalf.
Entity NameThe Guidance Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841262839
PECOS PAC ID: 6507859063
Enrollment ID: O20040408000528

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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. Dr Johnette Elisse 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 Johnette Elisse Clark, PHD
130 Su Terra Dr,
Atchison, KS 66002-1023

Ph: (913) 367-2824
Dr Johnette Elisse Clark, PHD
1301 N 2nd St,
Atchison, KS 66002-1202

Ph: (913) 367-1593

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› Verified 8 days ago


Psychologist in Atchison, KS

Mark Tolmachoff, LMLP
Psychologist
Medicare: Medicare Enrolled
Practice Location: 201 Main St, Atchison, KS 66002
Phone: 913-367-1593    
Mrs. Mandy Kay Uhler, LMLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1301 N 2nd, Atchison, KS 66002
Phone: 913-367-4045    Fax: 913-367-5394
Mr. Kerry Allan Marvin, M.A.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 710 Parallel St, Atchison, KS 66002
Phone: 913-367-5419    Fax: 913-367-6178
Peggy L Libel, LMLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1301 N 2nd St, Atchison, KS 66002
Phone: 913-367-1593    Fax: 913-367-1627
Nickolas Macaluso, LPC
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 201 Main St, Atchison, KS 66002
Phone: 913-367-1593    Fax: 913-367-1627
Mrs. Elizabeth Lynn Gilbert, LMLP, LMAC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1412 N 2nd St, Atchison, KS 66002
Phone: 913-367-4879    
Jason R Wells, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1301 N 2nd St, Atchison, KS 66002
Phone: 913-367-1593    Fax: 913-367-1627

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