Henry W Clever Iii, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in St Charles, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice First Capitol Dermatology Llc and his current practice location is
901 S 5th St, St Charles, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 916-1300.
Henry W Clever Iii is licensed to practice in Missouri (license number R4P68) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518925312.
Physician's Profile
| Full Name | Henry W Clever Iii |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 36 Years |
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| Location | 901 S 5th St, St Charles, Missouri |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Henry W Clever Iii attended and graduated from University Of Missouri, Columbia School Of Medicine in 1988
NPI Data:
- NPI Number: 1518925312
- Provider Enumeration Date: 05/02/2006
- Last Update Date: 02/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 4880626043
- Enrollment ID: I20050908000581
Medical Identifiers
Medical identifiers for Henry W Clever Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518925312 | NPI | - | NPPES |
| 203348628 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | R4P68 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| First Capitol Dermatology Llc | 0345319190 | 3 |
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. Henry W Clever Iii allows following entities to bill medicare on his behalf.
| Entity Name | First Capitol Dermatology Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730352394
PECOS PAC ID: 0345319190
Enrollment ID: O20080520000094 |
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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. Henry W Clever Iii 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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Henry W Clever Iii, MD
901 S 5th St,
St Charles, MO 63301
Ph: (636) 916-1300 | Henry W Clever Iii, MD
901 S 5th St,
St Charles, MO 63301
Ph: (636) 916-1300 |
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