Clarke Monet Allen, DDS is a medicare enrolled "Dentist - General Practice" provider in Hollandale, Mississippi. Her current practice location is
100 E Washington St, Hollandale, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 827-7400.
Clarke Monet Allen is licensed to practice in Mississippi (license number 4341-22) 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 1578213252.
Healthcare Provider's Profile
| Full Name | Clarke Monet Allen |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 100 E Washington St, Hollandale, Mississippi |
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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: 1578213252
- Provider Enumeration Date: 03/25/2022
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 0840674206
- Enrollment ID: I20230705002690
Medical Identifiers
Medical identifiers for Clarke Monet Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578213252 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 4341-22 (Mississippi) | 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. Clarke Monet Allen allows following entities to bill medicare on her behalf.
| Entity Name | Delta Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659378610
PECOS PAC ID: 6608783295
Enrollment ID: O20040216000676 |
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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. Clarke Monet Allen 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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Clarke Monet Allen, DDS
700 Jefferson St Nw Apt 106,
Washington, DC 20011-7726
Ph: (601) 813-7128 | Clarke Monet Allen, DDS
100 E Washington St,
Hollandale, MS 38748-3842
Ph: (662) 827-7400 |
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