Mr Lance Gordon Clouse, APRN is a medicare enrolled "Nurse Practitioner - Family" provider in Van Buren, Arkansas. He graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
623 Fayetteville Rd, Van Buren, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(479) 410-2225.
Mr Lance Gordon Clouse is licensed to practice in Arkansas (license number A004094) 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 1740249523.
Healthcare Provider's Profile
| Full Name | Mr Lance Gordon Clouse |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 11 Years |
|---|
| Location | 623 Fayetteville Rd, Van Buren, Arkansas |
|---|
| 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:
- Mr Lance Gordon Clouse graduated from medical school in 2014
NPI Data:
- NPI Number: 1740249523
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 07/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 9739339250
- Enrollment ID: I20141223002115
Medical Identifiers
Medical identifiers for Mr Lance Gordon Clouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740249523 | NPI | - | NPPES |
| 203917758 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 1386 (Arkansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | A004094 (Arkansas) | 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. Mr Lance Gordon Clouse allows following entities to bill medicare on his behalf.
| Provider Name | Bb Chiropractic, Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1831443696
PECOS PAC ID: 0749431567
Enrollment ID: O20121102000500 |
|---|
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. Mr Lance Gordon Clouse 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 |
|---|
Mr Lance Gordon Clouse, APRN
Po Box 6577,
Van Buren, AR 72956-0482
Ph: (479) 410-2225 | Mr Lance Gordon Clouse, APRN
623 Fayetteville Rd,
Van Buren, AR 72956-3418
Ph: (479) 410-2225 |
Reviews and Comments