Anna Pfau Clark, MS - Medicare Speech-Language Pathologist in Lino Lakes, MN

Anna Pfau Clark, MS is a medicare enrolled "Speech-language Pathologist" provider in Lino Lakes, Minnesota. Her current practice location is 6776 Lake Dr Ste 220, Lino Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 784-7007.

Anna Pfau Clark is licensed to practice in Minnesota (license number 9766) 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 1841747508.

Contact Information

Anna Pfau Clark, MS
6776 Lake Dr Ste 220,
Lino Lakes, MN 55014-1192
(651) 784-7007
Not Available



Healthcare Provider's Profile

Full NameAnna Pfau Clark
GenderFemale
SpecialitySpeech-language Pathologist
Location6776 Lake Dr Ste 220, Lino Lakes, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841747508
  • Provider Enumeration Date: 09/09/2016
  • Last Update Date: 06/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9335423722
  • Enrollment ID: I20170302002108

Medical Identifiers

Medical identifiers for Anna Pfau Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841747508NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 9766 (Minnesota)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. Anna Pfau Clark allows following entities to bill medicare on her behalf.
Provider NameAdvance Speech Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215144654
PECOS PAC ID: 5496064644
Enrollment ID: O20151029000276

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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. Anna Pfau 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
Anna Pfau Clark, MS
6776 Lake Dr Ste 220,
Lino Lakes, MN 55014-1192

Ph: (651) 784-7007
Anna Pfau Clark, MS
6776 Lake Dr Ste 220,
Lino Lakes, MN 55014-1192

Ph: (651) 784-7007

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Speech-Language Pathologist in Lino Lakes, MN

Emily Goldhammer, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014
Phone: 651-784-7007    Fax: 651-784-7992
Advance Therapy
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6776 Lake Dr, Lino Lakes, MN 55014
Phone: 651-784-7007    
Shana Banas, SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014
Phone: 651-784-7007    
Kaylen Whetstone, CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014
Phone: 651-784-7007    Fax: 651-784-7992
Advance Therapy
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014
Phone: 651-784-7007    Fax: 651-784-7992
Renee Deborah Therrien Bouchareb,
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 6776 Lake Dr Ste 220, Lino Lakes, MN 55014
Phone: 651-784-7007    
Ms. Judith Christensen Gelderman, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 6776 Lake Dr, 220, Lino Lakes, MN 55014
Phone: 651-784-7007    Fax: 651-784-7992

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