Dr Clayton Lively, MD is a
Psychiatry & Neurology - Psychiatry physician based in Moody Afb, Georgia. Dr Clayton Lively is licensed to practice in Nebraska (license number 28584) and his current practice location is 3278 Mitchell Blvd, Moody Afb, Georgia. He can be reached at his office (for appointments etc.) via phone at
(229) 257-1459.
NPI number for Dr Clayton Lively is 1407293418 and his current mailing address is 3278 Mitchell Blvd, Moody Afb, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407293418.
Physician's Profile
| Full Name | Dr Clayton Lively |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 3278 Mitchell Blvd, Moody Afb, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1407293418
- Provider Enumeration Date: 05/30/2013
- Last Update Date: 05/15/2018
Medical Identifiers
Medical identifiers for Dr Clayton Lively such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407293418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 28584 (Nebraska) | Primary |
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 Clayton Lively is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Clayton Lively, MD
3278 Mitchell Blvd,
Moody Afb, GA 31699-1500
Ph: (229) 257-1459 | Dr Clayton Lively, MD
3278 Mitchell Blvd,
Moody Afb, GA 31699
Ph: (229) 257-1459 |
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