Dr Clinton David Purvance, MD - Medicare Emergency Medicine in Stateline, NV

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Dr Clinton David Purvance, MD is a medicare enrolled "Emergency Medicine" physician in Stateline, Nevada. His current practice location is 155 Hwy 50, Ste 203, Stateline, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 589-8949.

Dr Clinton David Purvance is licensed to practice in Nevada (license number 9054) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124026349.

Contact Information

Dr Clinton David Purvance, MD
155 Hwy 50, Ste 203,
Stateline, NV 89449
(775) 589-8949
(775) 589-8979

Map and Direction




Physician's Profile

Full NameDr Clinton David Purvance
GenderMale
SpecialityEmergency Medicine
Location155 Hwy 50, Stateline, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124026349
  • Provider Enumeration Date: 07/12/2005
  • Last Update Date: 07/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8123929361
  • Enrollment ID: I20040203000762

Medical Identifiers

Medical identifiers for Dr Clinton David Purvance such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124026349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 9054 (Nevada)Primary
207P00000XEmergency Medicine A68981 (California)Secondary

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 David Purvance allows following entities to bill medicare on his behalf.
Entity NameTahoe Carson Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508865528
PECOS PAC ID: 8426048158
Enrollment ID: O20040514000834
Entity NameBarton Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235196015
PECOS PAC ID: 1850293960
Enrollment ID: O20040915000806

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 David Purvance 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 AddressPractice Location Address
Dr Clinton David Purvance, MD
1111 Emerald Bay Rd,
South Lake Tahoe, CA 96150-6207

Ph: (530) 543-5659		Dr Clinton David Purvance, MD
155 Hwy 50, Ste 203,
Stateline, NV 89449

Ph: (775) 589-8949

Reviews and Comments


Emergency Medicine Doctors in Stateline, NV

Dr. Stuart Paine Michelson, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 155 Hwy 50, Stateline, NV 89449
Phone: 775-589-8900    Fax: 775-588-7110
Warren Tilden Withers, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 155 Hwy 50, Stateline, NV 89449
Phone: 775-589-8900    Fax: 775-588-7110
Dr. Steven Dale Leman, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 155 Hwy 50, Ste 203, Stateline, NV 89449
Phone: 775-589-8949    Fax: 775-589-8979

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.