Paul Elwood Klaverweiden Jr, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fruitland, Maryland. 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 | |
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Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1760984454
- Provider Enumeration Date: 03/08/2018
- Last Update Date: 10/18/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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