Justin Bice Clemow, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Sandusky, Ohio. He went to University Of Florida College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice The Metrohealth System and his current practice location is
2500 W Strub Rd Ste A, Sandusky, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 627-8131.
Justin Bice Clemow is licensed to practice in Ohio (license number 30.023915) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952504219.
Healthcare Provider's Profile
Full Name | Justin Bice Clemow |
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Gender | Male |
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Speciality | Maxillofacial Surgery |
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Experience | 13 Years |
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Location | 2500 W Strub Rd Ste A, Sandusky, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Justin Bice Clemow attended and graduated from University Of Florida College Of Medicine in 2011
NPI Data:
- NPI Number: 1952504219
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 04/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002050432
- Enrollment ID: I20130924000882
Medical Identifiers
Medical identifiers for Justin Bice Clemow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952504219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 023915 (Ohio) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | DN18025 (Florida) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 30.023915 (Ohio) | Primary |
204E00000X | Oral & Maxillofacial Surgery | 35.121660 (Ohio) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | DN1856941 (Massachusetts) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 264666 (Massachusetts) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Metrohealth System | 8628982949 | 1029 |
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. Justin Bice Clemow allows following entities to bill medicare on his behalf.
Entity Name | The Metrohealth System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053353896 PECOS PAC ID: 8628982949 Enrollment ID: O20031119000355 |
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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. Justin Bice Clemow 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 |
Justin Bice Clemow, DMD, MD 2500 W Strub Rd Ste A, Sandusky, OH 44870-5390 Ph: (419) 627-8131 | Justin Bice Clemow, DMD, MD 2500 W Strub Rd Ste A, Sandusky, OH 44870-5390 Ph: (419) 627-8131 |
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