Dr Shequori K Clyde, DMD in Birmingham, AL

Dr Shequori K Clyde, DMD is a medicare enrolled "Dentist - General Practice" provider in Birmingham, Alabama. Her current practice location is 524 Red Lane Rd, Birmingham, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 836-4044.

Dr Shequori K Clyde is licensed to practice in Alabama (license number 6767) 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 1447874292.

Contact Information

	Dr Shequori K Clyde, DMD
	524 Red Lane Rd, Birmingham, AL 35215-8245
	(205) 836-4044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Shequori K Clyde
Gender	Female
Speciality	Dentist - General Practice
Location	524 Red Lane Rd, Birmingham, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447874292
Provider Enumeration Date: 06/07/2020
Last Update Date: 06/07/2020

Medicare PECOS Information:

PECOS PAC ID: 9931595733
Enrollment ID: I20220404001734

Medical Identifiers

Medical identifiers for Dr Shequori K Clyde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447874292	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	6767 (Alabama)	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. Dr Shequori K Clyde allows following entities to bill medicare on her behalf.

Entity Name	Cahaba Medical Care Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316201809 PECOS PAC ID: 1355597923 Enrollment ID: O20121120000238

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. Dr Shequori K Clyde 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
Dr Shequori K Clyde, DMD 524 Red Lane Rd, Birmingham, AL 35215-8245 Ph: (205) 836-4044	Dr Shequori K Clyde, DMD 524 Red Lane Rd, Birmingham, AL 35215-8245 Ph: (205) 836-4044

Reviews and Comments

Dentist in Birmingham, AL

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Dr Shequori K Clyde, DMD - Medicare Dentist in Birmingham, AL