Mr Clinton Earl Prescott Jr, MD is a medicare enrolled "Dermatology" physician in Manteca, California. His current practice location is
296 Cottage Ave, Manteca, California. You can reach out to his office (for appointments etc.) via phone at
(209) 239-2901.
Mr Clinton Earl Prescott Jr is licensed to practice in California (license number A25653) 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 1457456584.
Physician's Profile
Full Name | Mr Clinton Earl Prescott Jr |
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Gender | Male |
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Speciality | Dermatology |
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Location | 296 Cottage Ave, Manteca, California |
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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: 1457456584
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 04/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 9032205745
- Enrollment ID: I20080519000348
Medical Identifiers
Medical identifiers for Mr Clinton Earl Prescott Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457456584 | NPI | - | NPPES |
00A256532 | Medicaid | CA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | A25653 (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. Mr Clinton Earl Prescott Jr allows following entities to bill medicare on his behalf.
Entity Name | Artius Dermatology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245782291 PECOS PAC ID: 6305126780 Enrollment ID: O20161130001172 |
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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. Mr Clinton Earl Prescott Jr 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 |
Mr Clinton Earl Prescott Jr, MD 296 Cottage Ave, Manteca, CA 95336-4942 Ph: (209) 239-2901 | Mr Clinton Earl Prescott Jr, MD 296 Cottage Ave, Manteca, CA 95336-4942 Ph: (209) 239-2901 |
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