Bradley Hobart Clemens, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charlottesville, Virginia. His current practice location is
1215 Lee St # 801002, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 243-0223.
Bradley Hobart Clemens is licensed to practice in Virginia (license number 0116037531) 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 1639708522.
Physician's Profile
| Full Name | Bradley Hobart Clemens |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1215 Lee St # 801002, Charlottesville, Virginia |
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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: 1639708522
- Provider Enumeration Date: 04/03/2020
- Last Update Date: 06/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113340829
- Enrollment ID: I20200713003304
Medical Identifiers
Medical identifiers for Bradley Hobart Clemens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639708522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 5151014362 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0116037531 (Virginia) | 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. Bradley Hobart Clemens 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 |
|---|
Bradley Hobart Clemens, DO
1215 Lee St Box 801002,
Charlottesville, VA 22908-0816
Ph: (434) 243-0223 | Bradley Hobart Clemens, DO
1215 Lee St # 801002,
Charlottesville, VA 22908-2526
Ph: (434) 243-0223 |
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