Clarence Henry Beavers, MD is a medicare enrolled "Dermatology" physician in Eden, North Carolina. He went to West Virginia University School Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Dermatology. His current practice location is
207 E Meadow Rd Ste 1, Eden, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 627-3194.
Clarence Henry Beavers is licensed to practice in North Carolina (license number 39543) 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 1871595082.
Physician's Profile
Full Name | Clarence Henry Beavers |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 39 Years |
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Location | 207 E Meadow Rd Ste 1, Eden, North Carolina |
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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:
- Clarence Henry Beavers attended and graduated from West Virginia University School Of Medicine in 1985
NPI Data:
- NPI Number: 1871595082
- Provider Enumeration Date: 06/01/2005
- Last Update Date: 08/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002989746
- Enrollment ID: I20080714000590
Medical Identifiers
Medical identifiers for Clarence Henry Beavers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871595082 | NPI | - | NPPES |
P00935587 | Other | NC | RAILROAD MEDICARE |
2154554D | Other | NC | MEDICARE PTAN |
1871595082 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 39543 (North Carolina) | Secondary |
207N00000X | Dermatology | 39543 (North Carolina) | 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. Clarence Henry Beavers allows following entities to bill medicare on his behalf.
Entity Name | Beavers Dermatology & Skin Surgery, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477842573 PECOS PAC ID: 3577747476 Enrollment ID: O20110418000182 |
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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. Clarence Henry Beavers 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 |
Clarence Henry Beavers, MD Po Box 1693, Bryson City, NC 28713-1693 Ph: (336) 967-0004 | Clarence Henry Beavers, MD 207 E Meadow Rd Ste 1, Eden, NC 27288-3469 Ph: (336) 627-3194 |
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