Clinton James Schaefer, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Victorville, California. His current practice location is
12490 Business Center Dr Ste 200, Victorville, California. You can reach out to his office (for appointments etc.) via phone at
(760) 728-1900.
Clinton James Schaefer is licensed to practice in Washington (license number OP6155059) 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 1821523127.
Physician's Profile
Full Name | Clinton James Schaefer |
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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 | 12490 Business Center Dr Ste 200, Victorville, 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: 1821523127
- Provider Enumeration Date: 04/24/2017
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325489842
- Enrollment ID: I20240729002456
Medical Identifiers
Medical identifiers for Clinton James Schaefer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821523127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 20A20210 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | OP6155059 (Washington) | 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. Clinton James Schaefer allows following entities to bill medicare on his behalf.
Entity Name | Sol Radiology Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457928111 PECOS PAC ID: 1850796681 Enrollment ID: O20220913001468 |
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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. Clinton James Schaefer 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 |
Clinton James Schaefer, Po Box 1505, Indianapolis, IN 46206-1505 Ph: (760) 728-1900 | Clinton James Schaefer, 12490 Business Center Dr Ste 200, Victorville, CA 92395-5833 Ph: (760) 728-1900 |
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