Dr Clovis Raymond, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Bardonia, New York. His current practice location is
275 Route 304, Suite 200, Bardonia, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 507-0442.
Dr Clovis Raymond is licensed to practice in New York (license number 253550-1) 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 1902034051.
Physician's Profile
Full Name | Dr Clovis Raymond |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 275 Route 304, Bardonia, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1902034051
- Provider Enumeration Date: 06/28/2009
- Last Update Date: 10/14/2012
Medicare PECOS Information:
- PECOS PAC ID: 5991975278
- Enrollment ID: I20110823000987
Medical Identifiers
Medical identifiers for Dr Clovis Raymond such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902034051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 253550-1 (New York) | Primary |
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 Clovis Raymond allows following entities to bill medicare on his behalf.
Entity Name | Services For Preferred Medical Patients Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386920601 PECOS PAC ID: 8224282231 Enrollment ID: O20130129000003 |
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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 Clovis Raymond 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 Clovis Raymond, MD 275 Route 304, Suite 200, Bardonia, NY 10954-2049 Ph: (845) 507-0442 | Dr Clovis Raymond, MD 275 Route 304, Suite 200, Bardonia, NY 10954-2049 Ph: (845) 507-0442 |
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