Dr Clinton Avery Netherland, MD is a medicare enrolled "Family Medicine" physician in Smackover, Arkansas. His current practice location is
1400 Pershing Hwy, Smackover, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 725-3471.
Dr Clinton Avery Netherland is licensed to practice in Arkansas (license number E1883) 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 1235130444.
Physician's Profile
| Full Name | Dr Clinton Avery Netherland |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1400 Pershing Hwy, Smackover, Arkansas |
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| Accepts Medicare Assignments | Yes. He 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 Clinton Avery Netherland attended and graduated from in
NPI Data:
- NPI Number: 1235130444
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Clinton Avery Netherland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235130444 | NPI | - | NPPES |
| 14266R | Other | LA | LA STATE MEDICAL LICENSE |
| E1883 | Other | AR | AR MEDICAL LICENSE |
| 530572 | Other | AR | MEDICARE |
| 135730001 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | E1883 (Arkansas) | 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 Clinton Avery Netherland 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 Clinton Avery Netherland, MD
1400 Pershing Hwy,
Smackover, AR 71762-2300
Ph: (870) 725-3471 | Dr Clinton Avery Netherland, MD
1400 Pershing Hwy,
Smackover, AR 71762-2300
Ph: (870) 725-3471 |
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