Ms Beth Clay Herold, PNP, DNP is a medicare enrolled "Pediatrics" in Durham, North Carolina. Her current practice location is
4020 N Roxboro St, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 479-2690.
Ms Beth Clay Herold is licensed to practice in North Carolina (license number 5005669) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770519134.
Provider's Profile
| Full Name | Ms Beth Clay Herold |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 4020 N Roxboro St, Durham, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770519134
- Provider Enumeration Date: 06/25/2006
- Last Update Date: 07/30/2012
Medicare PECOS Information:
- PECOS PAC ID: 5698924280
- Enrollment ID: I20120925000274
Medical Identifiers
Medical identifiers for Ms Beth Clay Herold such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770519134 | NPI | - | NPPES |
| 303217500 | Medicaid | FL | |
| RN3246712 | Other | FL | NURSING LICENSE NUMBER |
| 252884 | Other | NC | NORTH CAROLINA NURSING LICENSE |
| 5005669 | Other | NC | NORTH CAROLINA BOARD OF NURSING, NP CERTIFICATE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN3246712 (Florida) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 252884 (North Carolina) | Secondary |
| 208000000X | Pediatrics | 5005669 (North Carolina) | 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. Ms Beth Clay Herold allows following entities to bill medicare on her behalf.
| Entity Name | Private Diagnostic Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457389033
PECOS PAC ID: 1355254368
Enrollment ID: O20031204000577 |
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| Entity Name | Duke Health Integrated Practice Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247 |
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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. Ms Beth Clay Herold 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 |
|---|
Ms Beth Clay Herold, PNP, DNP
5213 S Alston Ave,
Durham, NC 27713-4430
Ph: (919) 684-8111 | Ms Beth Clay Herold, PNP, DNP
4020 N Roxboro St,
Durham, NC 27704-2120
Ph: (919) 479-2690 |
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