John Clancy, FNP is a medicare enrolled "Nurse Practitioner - Family" in Jamul, California. His current practice location is
3877 Alta Loma Dr, Jamul, California. You can reach out to his office (for appointments etc.) via phone at
(619) 354-9553.
John Clancy is licensed to practice in California (license number X) 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 1508573940.
Provider's Profile
Full Name | John Clancy |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 3877 Alta Loma Dr, Jamul, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508573940
- Provider Enumeration Date: 11/04/2022
- Last Update Date: 11/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608142013
- Enrollment ID: I20230607001435
Medical Identifiers
Medical identifiers for John Clancy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508573940 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | X (California) | 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. John Clancy allows following entities to bill medicare on his behalf.
Entity Name | Rancho Santa Fe Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629117809 PECOS PAC ID: 8729971346 Enrollment ID: O20050726001154 |
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Entity Name | H Squared Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982210183 PECOS PAC ID: 0244650125 Enrollment ID: O20201014002083 |
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Entity Name | Vhc Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306582119 PECOS PAC ID: 8628450749 Enrollment ID: O20220804003468 |
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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. John Clancy 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 |
John Clancy, FNP 3877 Alta Loma Dr, Jamul, CA 91935-1706 Ph: (619) 354-9553 | John Clancy, FNP 3877 Alta Loma Dr, Jamul, CA 91935-1706 Ph: (619) 354-9553 |
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