Meadow Marie Clerico, MA is a
Psychologist based in Meridian, Idaho. Meadow Marie Clerico is licensed to practice in Idaho (license number ) and her current practice location is
2463 E Gala St Ste 100, Meridian, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 955-7339.
NPI number for Meadow Marie Clerico is 1346974359 and her current mailing address is 2463 E Gala St Ste 100, Meridian, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346974359.
Healthcare Provider's Profile
| Full Name | Meadow Marie Clerico |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 2463 E Gala St Ste 100, Meridian, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346974359
- Provider Enumeration Date: 07/14/2022
- Last Update Date: 07/14/2022
Medical Identifiers
Medical identifiers for Meadow Marie Clerico such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346974359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (Idaho) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Idaho) | Secondary |
| 103T00000X | Psychologist | (Idaho) | Primary |
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. Meadow Marie Clerico is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Meadow Marie Clerico, MA
2463 E Gala St Ste 100,
Meridian, ID 83642-5210
Ph: (208) 955-7339 | Meadow Marie Clerico, MA
2463 E Gala St Ste 100,
Meridian, ID 83642-5210
Ph: (208) 955-7339 |
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