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GILBERT CLARK
NPI 1982072765
Counselor - Professional in Cadillac, MI

Active since September 10, 2015PECOS EnrolledAccepts Medicare Assignment
520 COBB ST, CADILLAC, MI 49601(231) 775-6521(231) 775-1366 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2022, Jan 14, 2019 (2 updates tracked since 2019).

About Gilbert Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GILBERT CLARK (NPI 1982072765) is an individual professional provider in Cadillac, Michigan, licensed in Minnesota (02015) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1982072765
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameGILBERT CLARK
Location Address520 COBB STCadillac, MI 49601-2588
Mailing Address520 Cobb StCadillac, MI 49601-2588 · (231) 876-6527 · Fax (231) 876-6519
Phone(231) 775-6521
Fax(231) 775-1366
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 10, 2015
Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1982072765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 02015
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 2-01085 (MI), 303944 (MN)
520 COBB ST, Cadillac, MI 49601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gilbert Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981052214
PECOS Enrollment IDI20231128001636
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANN G. CANE NP-C
Nurse Practitioner (Adult Health)
520 COBB ST
CADILLAC, MI 49601
Wexford County (231) 775-6521
SARAH RODERY LLMSW
Social Worker
520 COBB ST
CADILLAC, MI 49601
Wexford County (231) 775-6521
MISS OLIVIA RAE ARELLANO RDH
Dental Hygienist
520 COBB ST
CADILLAC, MI 49601
Wexford County (231) 876-6505
DR. ROBERT STANKEWITZ M.D.
Internal Medicine
520 COBB ST
CADILLAC, MI 49601
Wexford County (231) 775-6521
PAMELA L WIZNER-RANDAZZO MA, LPC, CAADC
Counselor (Mental Health)
520 COBB ST
CADILLAC, MI 49601
Wexford County (231) 775-6521
BRIAN C BOROWICZ PHARMD
Pharmacist
520 COBB ST
CADILLAC, MI 49601
Wexford County (231) 876-6740
MRS. LYNN M FULLER RPH
Pharmacist
520 COBB ST
CADILLAC, MI 49601
Wexford County (231) 876-6740
WEXFORD MEDICAL GROUP
Internal Medicine
520 COBB ST
CADILLAC, MI 49601
Wexford County (231) 775-6521

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gilbert Clark's NPI number?

The NPI number for Gilbert Clark is 1982072765. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Where is Gilbert Clark located?

Gilbert Clark practices at 520 Cobb St, Cadillac, MI 49601. The listed phone number is (231) 775-6521.

What is Gilbert Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gilbert Clark enrolled in Medicare?

Yes. Gilbert Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gilbert Clark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Gilbert Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gilbert Clark was last updated on August 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.