Mr Graciano Evans Clause Jr, RPA is a medicare enrolled "Physician Assistant" physician in Astoria, New York. His current practice location is
4904 19th Ave, Astoria, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 777-3494.
Mr Graciano Evans Clause Jr is licensed to practice in New York (license number 007907) 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 1295031599.
Physician's Profile
Full Name | Mr Graciano Evans Clause Jr |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 4904 19th Ave, Astoria, New York |
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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: 1295031599
- Provider Enumeration Date: 02/03/2011
- Last Update Date: 08/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749427391
- Enrollment ID: I20191031002513
Medical Identifiers
Medical identifiers for Mr Graciano Evans Clause Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295031599 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0049907 (New York) | Secondary |
363A00000X | Physician Assistant | 007907 (New York) | Primary |
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 Graciano Evans Clause 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 Graciano Evans Clause Jr, RPA 596 Pennsylavania Avenue, Brooklyn, NY 11208 Ph: (718) 342-3269 | Mr Graciano Evans Clause Jr, RPA 4904 19th Ave, Astoria, NY 11105-1002 Ph: (718) 777-3494 |
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