Dr Angela Coleen Moore Clay, DO is a medicare enrolled "Family Medicine" physician in Fordland, Missouri. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Camden Emergency Group Llc, Fordland Clinic, Inc. and her current practice location is
1059 Barton Dr, Fordland, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 767-2273.
Dr Angela Coleen Moore Clay is licensed to practice in Missouri (license number 2001026670) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992899645.
Physician's Profile
Full Name | Dr Angela Coleen Moore Clay |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 24 Years |
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Location | 1059 Barton Dr, Fordland, Missouri |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Angela Coleen Moore Clay attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2000
NPI Data:
- NPI Number: 1992899645
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 03/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 7517041627
- Enrollment ID: I20080228000166
Medical Identifiers
Medical identifiers for Dr Angela Coleen Moore Clay such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992899645 | NPI | - | NPPES |
209221001 | Medicaid | MO | |
P00750135 | Other | MO | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | MO2001026670 (Missouri) | Secondary |
207Q00000X | Family Medicine | 2001026670 (Missouri) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | MO2001026670 (Missouri) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Camden Emergency Group Llc | 2961665369 | 14 |
Fordland Clinic, Inc. | 5597794552 | 8 |
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. Dr Angela Coleen Moore Clay allows following entities to bill medicare on her behalf.
Entity Name | Phelps County Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
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Entity Name | Fordland Clinic, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881607612 PECOS PAC ID: 5597794552 Enrollment ID: O20050913000367 |
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Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20060711000434 |
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Entity Name | Camden Emergency Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003181637 PECOS PAC ID: 2961665369 Enrollment ID: O20120523000037 |
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Entity Name | Teladoc Health Medical Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245403567 PECOS PAC ID: 3173786837 Enrollment ID: O20211028001676 |
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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. Dr Angela Coleen Moore Clay 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 |
Dr Angela Coleen Moore Clay, DO 100 Hospital Dr, Lebanon, MO 65536-9210 Ph: (417) 533-6350 | Dr Angela Coleen Moore Clay, DO 1059 Barton Dr, Fordland, MO 65652-7350 Ph: (417) 767-2273 |
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