Paul Elwood Klaverweiden Jr, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fruitland, Maryland. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Inspiration Health Services Llc and his current practice location is
103 E Main St, Fruitland, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 831-3899.
Paul Elwood Klaverweiden Jr is licensed to practice in Maryland (license number R173574) 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 1760984454.
Provider's Profile
Full Name | Paul Elwood Klaverweiden Jr |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 103 E Main St, Fruitland, Maryland |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Paul Elwood Klaverweiden Jr graduated from nursing school in 2015
NPI Data:
- NPI Number: 1760984454
- Provider Enumeration Date: 03/08/2018
- Last Update Date: 10/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193089126
- Enrollment ID: I20180427001871
Medical Identifiers
Medical identifiers for Paul Elwood Klaverweiden Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760984454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R173574 (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Inspiration Health Services Llc | 1153665161 | 7 |
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. Paul Elwood Klaverweiden Jr allows following entities to bill medicare on his behalf.
Entity Name | Inspiration Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992287411 PECOS PAC ID: 1153665161 Enrollment ID: O20181203001092 |
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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. Paul Elwood Klaverweiden Jr 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 |
Paul Elwood Klaverweiden Jr, CRNP-PMH Po Box 10, Fruitland, MD 21826-0010 Ph: (410) 831-3899 | Paul Elwood Klaverweiden Jr, CRNP-PMH 103 E Main St, Fruitland, MD 21826-1604 Ph: (410) 831-3899 |
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