Dr Emma C Clardy, DO is a medicare enrolled "Family Medicine" physician in Centreville, Illinois. Her current practice location is
6000 Bond Ave, Centreville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 337-8153.
Dr Emma C Clardy is licensed to practice in Illinois (license number 036163844) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043847734.
Physician's Profile
| Full Name | Dr Emma C Clardy |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 6000 Bond Ave, Centreville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1043847734
- Provider Enumeration Date: 03/24/2020
- Last Update Date: 07/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789000969
- Enrollment ID: I20230905002969
Medical Identifiers
Medical identifiers for Dr Emma C Clardy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043847734 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036163844 (Illinois) | 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 Emma C Clardy allows following entities to bill medicare on her behalf.
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641 |
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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 Emma C Clardy 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 |
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Dr Emma C Clardy, DO
6000 Bond Ave,
Centreville, IL 62207-2328
Ph: (618) 337-8153 | Dr Emma C Clardy, DO
6000 Bond Ave,
Centreville, IL 62207-2328
Ph: (618) 337-8153 |
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