Ethel Gonzales Clemente, MD in Modesto, CA

Ethel Gonzales Clemente, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Modesto, California. Her current practice location is 3525 Pelandale Ave, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (559) 572-3880.

Ethel Gonzales Clemente is licensed to practice in California (license number C175083) 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 1497986731.

Contact Information

	Ethel Gonzales Clemente, MD
	3525 Pelandale Ave, Modesto, CA 95356-9781
	(559) 572-3880
	Not Available

Map and Direction

Physician's Profile

Full Name	Ethel Gonzales Clemente
Gender	Female
Speciality	Pediatrics - Pediatric Endocrinology
Location	3525 Pelandale Ave, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497986731
Provider Enumeration Date: 08/04/2009
Last Update Date: 03/08/2022

Medicare PECOS Information:

PECOS PAC ID: 1052626710
Enrollment ID: I20150811003626

Medical Identifiers

Medical identifiers for Ethel Gonzales Clemente such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497986731	NPI	-	NPPES
1497986731	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	098965 (Ohio)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	23711 (Mississippi)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	4301114264 (Michigan)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	C175083 (California)	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. Ethel Gonzales Clemente allows following entities to bill medicare on her behalf.

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Ethel Gonzales Clemente 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
Ethel Gonzales Clemente, MD 9300 Valley Childrens Pl # Sc05, Madera, CA 93636-8761 Ph: (559) 353-5700	Ethel Gonzales Clemente, MD 3525 Pelandale Ave, Modesto, CA 95356-9781 Ph: (559) 572-3880

Reviews and Comments

Pediatrics Doctors in Modesto, CA

Charnjeet K Randhawa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4601 Dale Rd, Modesto, CA 95356 Phone: 209-735-5000 Fax: 559-459-4569
Mohamed Ashkar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Modesto, CA 95350 Phone: 209-722-4842
Lee T Donohue, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-569-7408
Angela I Lin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1144 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4744
Miss Donna Silva, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4120 Prescott Rd, Modesto, CA 95356 Phone: 209-544-7300 Fax: 209-544-7323
Dr. Mary Jessie Sumithra, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 4125 Bangs Ave, Modesto, CA 95356 Phone: 209-557-1630
Dena Ann Lenser, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3109 Coffee Rd, Ste A, Modesto, CA 95355 Phone: 209-522-0001 Fax: 209-549-7077

Ethel Gonzales Clemente, MD - Medicare Pediatrics in Modesto, CA