Clint Ross, is a medicare enrolled "Counselor - Professional" provider in China Spring, Texas. His current practice location is
14038 China Spring Rd # 13, China Spring, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 334-6449.
Clint Ross is licensed to practice in Texas (license number 83229) 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 1770286296.
Healthcare Provider's Profile
| Full Name | Clint Ross |
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| Gender | Male |
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| Speciality | Counselor - Professional |
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| Location | 14038 China Spring Rd # 13, China Spring, Texas |
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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: 1770286296
- Provider Enumeration Date: 03/23/2023
- Last Update Date: 03/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789023326
- Enrollment ID: I20240416002426
Medical Identifiers
Medical identifiers for Clint Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770286296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 83229 (Texas) | 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. Clint Ross allows following entities to bill medicare on his behalf.
| Entity Name | Connection To Recovery Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598317042
PECOS PAC ID: 7416374491
Enrollment ID: O20200806000693 |
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| Entity Name | Thrive Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215181300
PECOS PAC ID: 0749458420
Enrollment ID: O20210706003672 |
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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. Clint Ross 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 |
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Clint Ross,
14038 China Spring Rd # 13,
China Spring, TX 76633-3450
Ph: (512) 334-6449 | Clint Ross,
14038 China Spring Rd # 13,
China Spring, TX 76633-3450
Ph: (512) 334-6449 |
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