Charles T Clemons, MD is a medicare enrolled "Emergency Medicine" physician in Lafayette, California. His current practice location is
926 Raintree Pl, Lafayette, California. You can reach out to his office (for appointments etc.) via phone at
(925) 942-0451.
Charles T Clemons is licensed to practice in California (license number C39170) 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 1730239542.
Physician's Profile
Full Name | Charles T Clemons |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 926 Raintree Pl, Lafayette, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730239542
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 02/26/2008
Medicare PECOS Information:
- PECOS PAC ID: 9133032238
- Enrollment ID: I20080401000885
Medical Identifiers
Medical identifiers for Charles T Clemons such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730239542 | NPI | - | NPPES |
00C391700 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | C39170 (California) | Primary |
207PP0204X | Emergency Medicine - Pediatric Emergency Medicine | C39170 (California) | Secondary |
208000000X | Pediatrics | C39170 (California) | Secondary |
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. Charles T Clemons allows following entities to bill medicare on his behalf.
Entity Name | La Clinica De La Raza Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016 |
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Entity Name | The Davis Street Community Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215358924 PECOS PAC ID: 6800956079 Enrollment ID: O20141204000241 |
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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. Charles T Clemons 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 |
Charles T Clemons, MD 926 Raintree Pl, Lafayette, CA 94549-4816 Ph: (925) 942-0451 | Charles T Clemons, MD 926 Raintree Pl, Lafayette, CA 94549-4816 Ph: (925) 942-0451 |
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