Dr Vickie Pinder Clennon, MD in Phoenix, AZ - Medicare Obstetrics/gynecology

Dr Vickie Pinder Clennon, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Phoenix, Arizona. She went to University Of South Florida College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm and her current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 263-1200.

Dr Vickie Pinder Clennon is licensed to practice in Florida (license number ME94827) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578771952.

Contact Information

	Dr Vickie Pinder Clennon, MD
	4212 N 16th St, Phoenix, AZ 85016-5319
	(602) 263-1200
	(602) 263-1692

Map and Direction

Physician's Profile

Full Name	Dr Vickie Pinder Clennon
Gender	Female
Speciality	Obstetrics/gynecology
Experience	21 Years
Location	4212 N 16th St, Phoenix, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Vickie Pinder Clennon attended and graduated from University Of South Florida College Of Medicine in 2003

NPI Data:

NPI Number: 1578771952
Provider Enumeration Date: 05/18/2007
Last Update Date: 05/03/2019

Medicare PECOS Information:

PECOS PAC ID: 6103908470
Enrollment ID: I20140304001764

Medical Identifiers

Medical identifiers for Dr Vickie Pinder Clennon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578771952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	ME94827 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phoenix Indian Medical Center	Phoenix, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm	1759290901	182

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 Vickie Pinder Clennon allows following entities to bill medicare on her behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396022026 PECOS PAC ID: 0244405629 Enrollment ID: O20120105000013

Entity Name	Dhhs Ihs Phoenix Area
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265719934 PECOS PAC ID: 7810163011 Enrollment ID: O20120109000961

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 Vickie Pinder Clennon 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 Vickie Pinder Clennon, MD Po Box 31001-0698, Pasadena, CA 91110-0698 Ph: (602) 263-1200	Dr Vickie Pinder Clennon, MD 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 263-1200

Reviews and Comments

Obstetrics & Gynecology Doctors in Phoenix, AZ

Mr. Memie Clifton Burton, MD. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th Street, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637
Karen Christine Adams, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1619
Dr. Jose Gomez Cisneros, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3140 N 35th Ave Ste 7, Phoenix, AZ 85017 Phone: 602-353-6656 Fax: 602-442-2065
Dr. Joel Barkley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5011
Dr. Robert Stuart Fowler, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5779 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000
Mark D Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1701 E Thomas Rd, Building 1 Suite 101, Phoenix, AZ 85016 Phone: 602-343-2767 Fax: 602-343-2766
Jill D Gibson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1313 E Osborn Rd Ste 250, Phoenix, AZ 85014 Phone: 602-265-9161 Fax: 602-265-1823

Dr Vickie Pinder Clennon, MD - Medicare Obstetrics/gynecology in Phoenix, AZ