Dr Clinton Avery Netherland, MD is a medicare enrolled "Family Medicine" physician in Smackover, Arkansas. He graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Family Practice. 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 |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 28 Years |
|---|
| Location | 1400 Pershing Hwy, Smackover, Arkansas |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Clinton Avery Netherland graduated from medical school in 1997
NPI Data:
- NPI Number: 1235130444
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719955137
- Enrollment ID: I20160928001773
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 |
Medical Facilities Affiliation
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 Clinton Avery Netherland allows following entities to bill medicare on his behalf.
| Entity Name | Clint A Netherland Md Pllc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1770036808
PECOS PAC ID: 2668769019
Enrollment ID: O20160928001807 |
|---|
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 |
Reviews and Comments