Douglas Clyburn, RN - Registered Nurse in Staten Island, NY

Douglas Clyburn, RN is a Registered Nurse - General Practice based in Staten Island, New York. Douglas Clyburn is licensed to practice in New York (license number 568854) and his current practice location is 23 York Ave, Staten Island, New York. He can be reached at his office (for appointments etc.) via phone at (347) 937-0238.

NPI number for Douglas Clyburn is 1154685469 and his current mailing address is 23 York Ave, Staten Island, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154685469.

Contact Information

Douglas Clyburn, RN
23 York Ave,
Staten Island, NY 10301-1326
(347) 937-0238
Not Available

Map and Direction




Provider's Profile

Full NameDouglas Clyburn
GenderMale
SpecialityRegistered Nurse - General Practice
Location23 York Ave, Staten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154685469
  • Provider Enumeration Date: 07/02/2012
  • Last Update Date: 07/02/2012

Medical Identifiers

Medical identifiers for Douglas Clyburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154685469NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 568854 (New York)Secondary
163WA0400XRegistered Nurse - Addiction (substance Use Disorder) 568854 (New York)Secondary
163WC0400XRegistered Nurse - Case Management 568854 (New York)Secondary
163WC2100XRegistered Nurse - Continence Care 568854 (New York)Secondary
163WD0400XRegistered Nurse - Diabetes Educator 568854 (New York)Secondary
163WG0000XRegistered Nurse - General Practice 568854 (New York)Primary
163WH0200XRegistered Nurse - Home Health 568854 (New York)Secondary
163WH1000XRegistered Nurse - Hospice 568854 (New York)Secondary
163WI0600XRegistered Nurse - Infection Control 568854 (New York)Secondary
163WM0705XRegistered Nurse - Medical-surgical 568854 (New York)Secondary
163WN1003XRegistered Nurse - Nutrition Support 568854 (New York)Secondary
163WP0000XRegistered Nurse - Pain Management 568854 (New York)Secondary
163WW0000XRegistered Nurse - Wound Care 568854 (New York)Secondary
163WX1500XRegistered Nurse - Ostomy Care 568854 (New York)Secondary

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. Douglas Clyburn 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 AddressPractice Location Address
Douglas Clyburn, RN
23 York Ave,
Staten Island, NY 10301-1326

Ph: (347) 937-0238
Douglas Clyburn, RN
23 York Ave,
Staten Island, NY 10301-1326

Ph: (347) 937-0238

Reviews and Comments


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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.

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