Dr Audra L Clos, MD is a medicare enrolled "Dermatology" physician in Jersey Village, Texas. She went to University Of Texas Medical Branch At Galveston and graduated in 2010 and has 15 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Bayou City Dermatology Llc and her current practice location is
20320 Northwest Fwy Ste 700, Jersey Village, Texas. You can reach out to her office (for appointments etc.) via phone at
(346) 437-0400.
Dr Audra L Clos is licensed to practice in Texas (license number P0361) 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 1952601122.
Physician's Profile
| Full Name | Dr Audra L Clos |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 15 Years |
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| Location | 20320 Northwest Fwy Ste 700, Jersey Village, Texas |
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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. |
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Medical Education and Training:
- Dr Audra L Clos attended and graduated from University Of Texas Medical Branch At Galveston in 2010
NPI Data:
- NPI Number: 1952601122
- Provider Enumeration Date: 10/22/2010
- Last Update Date: 12/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204157993
- Enrollment ID: I20150605002513
Medical Identifiers
Medical identifiers for Dr Audra L Clos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952601122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | P0361 (Texas) | Secondary |
| 207N00000X | Dermatology | P0361 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bayou City Dermatology Llc | 3577801554 | 7 |
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 Audra L Clos allows following entities to bill medicare on her behalf.
| Entity Name | Bayou City Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376014464
PECOS PAC ID: 3577801554
Enrollment ID: O20190218001137 |
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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 Audra L Clos 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 |
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Dr Audra L Clos, MD
5280 Caroline St Apt 2303,
Houston, TX 77004-5887
Ph: (832) 746-1402 | Dr Audra L Clos, MD
20320 Northwest Fwy Ste 700,
Jersey Village, TX 77065-5645
Ph: (346) 437-0400 |
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