Dr Clark V Monahan, DC is a medicare enrolled "Chiropractor" provider in St. Augustine, Florida. His current practice location is
419 Anastasia Blvd., St. Augustine, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 824-8353.
Dr Clark V Monahan is licensed to practice in Florida (license number CH002385) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982622593.
Healthcare Provider's Profile
| Full Name | Dr Clark V Monahan |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 419 Anastasia Blvd., St. Augustine, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982622593
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 03/26/2014
Medicare PECOS Information:
- PECOS PAC ID: 3072588375
- Enrollment ID: I20120123000402
Medical Identifiers
Medical identifiers for Dr Clark V Monahan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982622593 | NPI | - | NPPES |
| 050018600 | Medicaid | FL | |
| 89830 | Other | FL | BLUE CROSS & BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | CH002385 (Florida) | 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. Dr Clark V Monahan allows following entities to bill medicare on his behalf.
| Provider Name | St Augustine Physicians Associates Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326168626
PECOS PAC ID: 9638144934
Enrollment ID: O20040831000377 |
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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 Clark V Monahan 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 |
|---|
Dr Clark V Monahan, DC
419 Anastasia Blvd.,
St. Augustine, FL 32080-4508
Ph: (904) 824-8353 | Dr Clark V Monahan, DC
419 Anastasia Blvd.,
St. Augustine, FL 32080-4508
Ph: (904) 824-8353 |
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