Mark W Clark, PSYD in Vancouver, WA - Medicare Clinical Psychologist Provider

Mark W Clark, PSYD is a medicare enrolled "Psychologist - Forensic" provider in Vancouver, Washington. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Western Psychological And Counseling Services Pc and his current practice location is 7507 Ne 51st St, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 906-1190.

Mark W Clark is licensed to practice in Washington (license number PY2226) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114081577.

Contact Information

	Mark W Clark, PSYD
	7507 Ne 51st St, Vancouver, WA 98662-6007
	(360) 906-1190
	(360) 906-1193

Healthcare Provider's Profile

Full Name	Mark W Clark
Gender	Male
Speciality	Clinical Psychologist
Experience	28 Years
Location	7507 Ne 51st St, Vancouver, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark W Clark graduated from medical school in 1996

NPI Data:

NPI Number: 1114081577
Provider Enumeration Date: 12/20/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 0143405829
Enrollment ID: I20110421000841

Medical Identifiers

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

Identifier	Type	State	Issuer
1114081577	NPI	-	NPPES
164936	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY2226 (Washington)	Primary
103TF0200X	Psychologist - Forensic	PY2226 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Western Psychological And Counseling Services Pc	7719975085	124

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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. Mark W Clark allows following entities to bill medicare on his behalf.

Entity Name	Western Psychological And Counseling Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629345731 PECOS PAC ID: 7719975085 Enrollment ID: O20110224000559

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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. Mark W 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
Mark W Clark, PSYD Po Box 82819, Portland, OR 97282-0819 Ph: (503) 233-5405	Mark W Clark, PSYD 7507 Ne 51st St, Vancouver, WA 98662-6007 Ph: (360) 906-1190

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Pivotal Therapeutics reports reduced revenue in first quarter 2014

Researchers find standard heart disease risk assessment tools for rheumatoid arthritis patients

Study finds ER price gouging to be worst for minorities and uninsured patients

Omitting aspirin leads to less bleedings but does not increase risk of stent thrombosis, MI

Psychologist in Vancouver, WA

Dr. Bart James Fowler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11802 Ne 117th Ave, Vancouver, WA 98662 Phone: 360-891-2000 Fax: 360-944-6965
Margaret Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 955 Officers Row, Vancouver, WA 98661 Phone: 360-213-7893
Dr. Lucretia Hyzy Krebs, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1701 E Evergreen Blvd, Vancouver, WA 98661 Phone: 360-513-5572 Fax: 360-263-2681
Shelly Nicol, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7507 Ne 51st St, Vancouver, WA 98662 Phone: 360-906-1190
Dr. Maria Lise Flores, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 400 E Evergreen Blvd Ste 102, Vancouver, WA 98660 Phone: 564-232-8225
Mrs. Anneliese J Corcoran, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9340 Ne 76th St, Vancouver, Vancouver, WA 98662 Phone: 360-253-4912 Fax: 360-253-4912
Dr. Cynthia Ann Savoie, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8120 Ne Royal St, Vancouver, WA 98662 Phone: 360-256-9465 Fax: 360-256-2378

Mark W Clark, PSYD - Medicare Psychologist in Vancouver, WA

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Group Practice Association

Pivotal Therapeutics reports reduced revenue in first quarter 2014

Researchers find standard heart disease risk assessment tools for rheumatoid arthritis patients

Study finds ER price gouging to be worst for minorities and uninsured patients

Omitting aspirin leads to less bleedings but does not increase risk of stent thrombosis, MI

Medicare Reassignments

Pivotal Therapeutics reports reduced revenue in first quarter 2014

Researchers find standard heart disease risk assessment tools for rheumatoid arthritis patients

Study finds ER price gouging to be worst for minorities and uninsured patients

Omitting aspirin leads to less bleedings but does not increase risk of stent thrombosis, MI

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Pivotal Therapeutics reports reduced revenue in first quarter 2014

Researchers find standard heart disease risk assessment tools for rheumatoid arthritis patients

Study finds ER price gouging to be worst for minorities and uninsured patients

Omitting aspirin leads to less bleedings but does not increase risk of stent thrombosis, MI

Psychologist in Vancouver, WA