Clay J Hubble Iii, FNP-C - Medicare Nurse Practitioner in Bogalusa, LA

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Clay J Hubble Iii, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bogalusa, Louisiana. His current practice location is 1616 S Columbia St, Ste. C, Bogalusa, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 735-1685.

Clay J Hubble Iii is licensed to practice in Louisiana (license number AP05824) 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 1295963692.

Contact Information

Clay J Hubble Iii, FNP-C
1616 S Columbia St, Ste. C,
Bogalusa, LA 70427-5880
(985) 735-1685
(985) 735-1088

Map and Direction




Provider's Profile

Full NameClay J Hubble Iii
GenderMale
SpecialityNurse Practitioner - Family
Location1616 S Columbia St, Bogalusa, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295963692
  • Provider Enumeration Date: 06/24/2009
  • Last Update Date: 10/15/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4981741543
  • Enrollment ID: I20091030000263

Medical Identifiers

Medical identifiers for Clay J Hubble Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295963692NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP05824 (Louisiana)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. Clay J Hubble Iii allows following entities to bill medicare on his behalf.
Entity NameSt Mary Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235108499
PECOS PAC ID: 7810926995
Enrollment ID: O20050809000607
Entity NameE. M. Dimitri, D.o. Pmc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821285974
PECOS PAC ID: 4284722059
Enrollment ID: O20071116000378
Entity NameSt Tammany Emergency Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891187654
PECOS PAC ID: 7214255967
Enrollment ID: O20150409001843
Entity NameSt. Bernard Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306386685
PECOS PAC ID: 4789960972
Enrollment ID: O20170425001231

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. Clay J Hubble Iii 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 AddressPractice Location Address
Clay J Hubble Iii, FNP-C
231 Saint Ann Dr, Suite 2,
Mandeville, LA 70471-3219

Ph: (985) 624-5410		Clay J Hubble Iii, FNP-C
1616 S Columbia St, Ste. C,
Bogalusa, LA 70427-5880

Ph: (985) 735-1685

Reviews and Comments


Nurse Practitioner Nurses in Bogalusa, LA

Elizabeth Michelle Fitzgerald, FNP-C, AGACNP-BC
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Practice Location: 420 Avenue F, Bogalusa, LA 70427
Phone: 985-730-6970    
Mr. Alvin Gene Williams, FNP
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Practice Location: 2781 S Columbia St, Bogalusa, LA 70427
Phone: 985-241-5525    Fax: 985-241-5530
Ms. Lisa Penton Mejia, APRN
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Dawn Malcom, FNP-C
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Medicare: Not Enrolled in Medicare
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Phone: 985-730-6670    Fax: 985-730-6671
Jessica Oalmann Manchester, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 433 Plaza St, Bogalusa, LA 70427
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Patti C. Wascom, F.N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St Ste 2a, Bogalusa, LA 70427
Phone: 985-730-7020    Fax: 985-730-7022

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.