Mrs Cynthia O Clegg, MD is a medicare enrolled "Dermatology" physician in Fredericksburg, Texas. She went to University Of Texas Southwestern Medical School At Dallas and graduated in 1997 and has 27 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Oliver Street 5.01(a) Inc and her current practice location is
95 E Highway St, Fredericksburg, Texas. You can reach out to her office (for appointments etc.) via phone at
(830) 997-0898.
Mrs Cynthia O Clegg is licensed to practice in Texas (license number K5274) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093825424.
Physician's Profile
Full Name | Mrs Cynthia O Clegg |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 27 Years |
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Location | 95 E Highway St, Fredericksburg, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Cynthia O Clegg attended and graduated from University Of Texas Southwestern Medical School At Dallas in 1997
NPI Data:
- NPI Number: 1093825424
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 11/27/2013
Medicare PECOS Information:
- PECOS PAC ID: 0143379248
- Enrollment ID: I20090520000354
Medical Identifiers
Medical identifiers for Mrs Cynthia O Clegg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093825424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | K5274 (Texas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Oliver Street 5.01(a) Inc | 0042464125 | 144 |
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. Mrs Cynthia O Clegg allows following entities to bill medicare on her behalf.
Entity Name | Oliver Street 5.01(a) Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
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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. Mrs Cynthia O Clegg 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 |
Mrs Cynthia O Clegg, MD 95 E Highway St, Fredericksburg, TX 78624-5132 Ph: (830) 997-0898 | Mrs Cynthia O Clegg, MD 95 E Highway St, Fredericksburg, TX 78624-5132 Ph: (830) 997-0898 |
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