Cleshawn Dubose, in Claremore, OK - Medicare Counselor Provider

Cleshawn Dubose, is a medicare enrolled "Counselor" provider in Claremore, Oklahoma. Her current practice location is 12005 E 470 Rd, Claremore, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 342-0770.

Cleshawn Dubose is licensed to practice in * (Not Available) (license number ) 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 1174871107.

Contact Information

	Cleshawn Dubose,
	12005 E 470 Rd, Claremore, OK 74017-3737
	(918) 342-0770
	(918) 342-0087

Map and Direction

Healthcare Provider's Profile

Full Name	Cleshawn Dubose
Gender	Female
Speciality	Counselor
Location	12005 E 470 Rd, Claremore, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174871107
Provider Enumeration Date: 08/23/2012
Last Update Date: 03/09/2015

Medicare PECOS Information:

PECOS PAC ID: 6204284698
Enrollment ID: I20231124000308

Medical Identifiers

Medical identifiers for Cleshawn Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174871107	NPI	-	NPPES
200287120A	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Cleshawn Dubose allows following entities to bill medicare on her behalf.

Entity Name	Alliance Mental Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053602649 PECOS PAC ID: 0345670733 Enrollment ID: O20200427002009

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. Cleshawn Dubose 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
Cleshawn Dubose, 7211 S 92nd East Ave, Apt. 3, Tulsa, OK 74133-5235 Ph: (918) 373-0747	Cleshawn Dubose, 12005 E 470 Rd, Claremore, OK 74017-3737 Ph: (918) 342-0770

Reviews and Comments

Counselor in Claremore, OK

Becky Ann Gafford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 423 W Will Rogers Blvd, Claremore, OK 74017 Phone: 918-810-8929
Tiffany Landis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-619-2557 Fax: 918-342-0087
Michaela Ruby Lacio, MHR, LPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770
Zaire Archuleta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3100 Medical Pkwy, Claremore, OK 74017 Phone: 918-342-0770 Fax: 918-342-0087
Valorie C Nagy, MHR, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Road, Claremore, OK 74017 Phone: 918-342-0770
Lucy Diane Estes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17599 S Highway 88, Claremore, OK 74017 Phone: 918-273-0770
Helen Provost, BSW/MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12005 E 470 Rd, Claremore, OK 74017 Phone: 918-374-0770 Fax: 918-342-0087

Cleshawn Dubose, - Medicare Counselor in Claremore, OK