Craig J Mcclain, MD - Medicare Gastroenterology in Louisville, KY

Craig J Mcclain, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Louisville, Kentucky. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1972 and has 52 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice University Of Louisville Physicians Inc and his current practice location is 401 E Chestnut St, Suite 310, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 584-8563.

Craig J Mcclain is licensed to practice in Kentucky (license number 22402) 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 1225092349.

Contact Information

Craig J Mcclain, MD
401 E Chestnut St, Suite 310,
Louisville, KY 40202-5700
(502) 584-8563
(502) 562-6196

Map and Direction




Physician's Profile

Full NameCraig J Mcclain
GenderMale
SpecialityGastroenterology
Experience52 Years
Location401 E Chestnut St, Louisville, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Craig J Mcclain attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1972
  NPI Data:
  • NPI Number: 1225092349
  • Provider Enumeration Date: 04/14/2006
  • Last Update Date: 02/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5395770929
  • Enrollment ID: I20071008000445

Medical Identifiers

Medical identifiers for Craig J Mcclain such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225092349NPI-NPPES
64244025MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 22402 (Kentucky)Primary
207RI0008XInternal Medicine - Hepatology 22402 (Kentucky)Secondary
207R00000XInternal Medicine 22402 (Kentucky)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jewish Hospital & St Mary's HealthcareLouisville, KYHospital
University Of Louisville HospitalLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Louisville Physicians Inc34767255991111

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. Craig J Mcclain allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Louisville Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366722316
PECOS PAC ID: 3476725599
Enrollment ID: O20111017000036

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. Craig J Mcclain 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 AddressPractice Location Address
Craig J Mcclain, MD
Po Box 909, Suite 220,
Louisville, KY 40201-0909

Ph: (502) 588-0320
Craig J Mcclain, MD
401 E Chestnut St, Suite 310,
Louisville, KY 40202-5700

Ph: (502) 584-8563

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.