Kerry Clancy, PA - Medicare Physician Assistant in Fayetteville, NC

Kerry Clancy, PA is a medicare enrolled "Physician Assistant" in Fayetteville, North Carolina. He graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Matrix Occupational Health Pc and his current practice location is 217 Glensford Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 483-4647.

Kerry Clancy is licensed to practice in North Carolina (license number 000102790) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669473153.

Contact Information

Kerry Clancy, PA
217 Glensford Dr,
Fayetteville, NC 28314
(910) 483-4647
(910) 483-6431

Map and Direction




Provider's Profile

Full NameKerry Clancy
GenderMale
SpecialityPhysician Assistant
Experience25 Years
Location217 Glensford Dr, Fayetteville, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kerry Clancy graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1669473153
  • Provider Enumeration Date: 08/09/2005
  • Last Update Date: 09/10/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8729054259
  • Enrollment ID: I20040907000939

Medical Identifiers

Medical identifiers for Kerry Clancy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669473153NPI-NPPES
D7406OtherNCK. CLANCY'S MEDCOST #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 000102790 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Matrix Occupational Health Pc236535022041

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. Kerry 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 AddressPractice Location Address
Kerry Clancy, PA
217 Glensford Dr,
Fayetteville, NC 28314-0892

Ph: (910) 483-4647
Kerry Clancy, PA
217 Glensford Dr,
Fayetteville, NC 28314

Ph: (910) 483-4647

Reviews and Comments


Physician Assistant Nurses in Fayetteville, NC

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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.