John William Clinton Iii, MD is a medicare enrolled "Pediatrics" physician in Port Lavaca, Texas. His current practice location is
1200 N Virginia St, Port Lavaca, Texas. You can reach out to his office (for appointments etc.) via phone at
(361) 522-6721.
John William Clinton Iii is licensed to practice in Texas (license number R3053) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740609601.
Physician's Profile
Full Name | John William Clinton Iii |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 1200 N Virginia St, Port Lavaca, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740609601
- Provider Enumeration Date: 04/08/2014
- Last Update Date: 07/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769718675
- Enrollment ID: I20190731000685
Medical Identifiers
Medical identifiers for John William Clinton Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740609601 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | R3053 (Texas) | 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. John William Clinton Iii allows following entities to bill medicare on his behalf.
Entity Name | Port Lavaca Clinic Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144262957 PECOS PAC ID: 3971565193 Enrollment ID: O20041101000085 |
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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. John William Clinton 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 |
John William Clinton Iii, MD 1200 N Virginia St, Port Lavaca, TX 77979-2507 Ph: (361) 552-6721 | John William Clinton Iii, MD 1200 N Virginia St, Port Lavaca, TX 77979-2507 Ph: (361) 522-6721 |
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