Robert Clendenin, MD is a
Dermatology - Procedural Dermatology physician based in Shawnee, Oklahoma. Robert Clendenin is licensed to practice in Oklahoma (license number 10884) and his current practice location is 432 N Broadway Ave, Shawnee, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(405) 562-8380.
NPI number for Robert Clendenin is 1427436088 and his current mailing address is 93 S Jackson St # 98961, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427436088.
Physician's Profile
| Full Name | Robert Clendenin |
|---|
| Gender | Male |
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| Speciality | Dermatology - Procedural Dermatology |
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| Location | 432 N Broadway Ave, Shawnee, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427436088
- Provider Enumeration Date: 05/14/2015
- Last Update Date: 03/09/2022
Medical Identifiers
Medical identifiers for Robert Clendenin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427436088 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 10884 (Oklahoma) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | C36830 (California) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | C36830 (California) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 21634 (Puerto Rico) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 10884 (Oklahoma) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 21634 (Puerto Rico) | Secondary |
| 2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | 10884 (Oklahoma) | Secondary |
| 2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | C36830 (California) | Secondary |
| 2084P0301X | Psychiatry & Neurology - Brain Injury Medicine | 21634 (Puerto Rico) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10884 (Oklahoma) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | C36830 (California) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 21634 (Puerto Rico) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 10884 (Oklahoma) | 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. Robert Clendenin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Robert Clendenin, MD
93 S Jackson St # 98961,
Seattle, WA 98104-2818
Ph: () - | Robert Clendenin, MD
432 N Broadway Ave,
Shawnee, OK 74801-6922
Ph: (405) 562-8380 |
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