Dr Jeannine Denise Clement, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Maineville, Ohio. Her current practice location is
6949 Hunters Close, Maineville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 278-7575.
Dr Jeannine Denise Clement is licensed to practice in Ohio (license number 35-054164) 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 1700250974.
Physician's Profile
| Full Name | Dr Jeannine Denise Clement |
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| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 6949 Hunters Close, Maineville, Ohio |
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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: 1700250974
- Provider Enumeration Date: 11/25/2015
- Last Update Date: 01/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 1850830373
- Enrollment ID: I20240828004023
Medical Identifiers
Medical identifiers for Dr Jeannine Denise Clement such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700250974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | A45312 (California) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | MD60256119 (Washington) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 35-054164 (Ohio) | 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 Jeannine Denise Clement allows following entities to bill medicare on her behalf.
| Entity Name | Multicare Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760 |
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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 Jeannine Denise Clement 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 Jeannine Denise Clement, MD
9891 Montgomery Rd # 290,
Montgomery, OH 45242-6424
Ph: (513) 278-7575 | Dr Jeannine Denise Clement, MD
6949 Hunters Close,
Maineville, OH 45039-7241
Ph: (513) 278-7575 |
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