Terry A Clinkenbeard, DO is a
Psychiatry & Neurology - Psychiatry physician based in Devils Lake, North Dakota. Terry A Clinkenbeard is licensed to practice in North Dakota (license number 5449) and his current practice location is 200 Highway 2 W, Devils Lake, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 665-2200.
NPI number for Terry A Clinkenbeard is 1003850231 and his current mailing address is Po Box 650, Devils Lake, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003850231.
Physician's Profile
| Full Name | Terry A Clinkenbeard |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 200 Highway 2 W, Devils Lake, North Dakota |
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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: 1003850231
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 01/24/2012
Medical Identifiers
Medical identifiers for Terry A Clinkenbeard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003850231 | NPI | - | NPPES |
| 054518 | Medicaid | ND | |
| 000481 | Other | ND | BCBS PIN |
| 260035844 | Other | ND | RR MEDICARE ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 5449 (North Dakota) | 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. Terry A Clinkenbeard 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 |
|---|
Terry A Clinkenbeard, DO
Po Box 650,
Devils Lake, ND 58301-0650
Ph: (701) 665-2200 | Terry A Clinkenbeard, DO
200 Highway 2 W,
Devils Lake, ND 58301-3532
Ph: (701) 665-2200 |
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