Stephen Clark, PHD - Medicare Psychologist in Little Rock, AR

Stephen Clark, PHD is a medicare enrolled "Psychologist" provider in Little Rock, Arkansas. He graduated from medical school in 1978 and has 46 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Living Hope Southeast, Llc and his current practice location is 10025 W. Markham Street, Ste 210, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 663-4673.

Stephen Clark is licensed to practice in Arkansas (license number 99-07P) 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 1003095415.

Contact Information

Stephen Clark, PHD
10025 W. Markham Street, Ste 210,
Little Rock, AR 72205-2178
(501) 663-4673
(501) 801-1816



Healthcare Provider's Profile

Full NameStephen Clark
GenderMale
SpecialityClinical Psychologist
Experience46 Years
Location10025 W. Markham Street, Little Rock, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stephen Clark graduated from medical school in 1978
  NPI Data:
  • NPI Number: 1003095415
  • Provider Enumeration Date: 11/01/2007
  • Last Update Date: 08/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0143296236
  • Enrollment ID: I20040909000688

Medical Identifiers

Medical identifiers for Stephen Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003095415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 99-07P (Arkansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Living Hope Southeast, Llc30726058319

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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. Stephen Clark allows following entities to bill medicare on his behalf.
Entity NameLiving Hope Southeast, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689877862
PECOS PAC ID: 3072605831
Enrollment ID: O20070823001023

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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. Stephen 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
Stephen Clark, PHD
10025 W. Markham Street, Ste 210,
Little Rock, AR 72205-2178

Ph: (501) 663-4673
Stephen Clark, PHD
10025 W. Markham Street, Ste 210,
Little Rock, AR 72205-2178

Ph: (501) 663-4673

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