Dr Charles Durrell Clayton, DPM is a medicare enrolled "Podiatrist" provider in Mastic, New York. His current practice location is
152 N Titmus Dr, Mastic, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 871-6945.
Dr Charles Durrell Clayton is licensed to practice in New York (license number N004021) 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 1336205103.
Healthcare Provider's Profile
Full Name | Dr Charles Durrell Clayton |
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Gender | Male |
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Speciality | Podiatrist |
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Location | 152 N Titmus Dr, Mastic, New York |
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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: 1336205103
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0042269102
- Enrollment ID: I20050114000645
Medical Identifiers
Medical identifiers for Dr Charles Durrell Clayton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336205103 | NPI | - | NPPES |
00910178 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213E00000X | Podiatrist | N004021 (New York) | 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. Dr Charles Durrell Clayton 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 |
Dr Charles Durrell Clayton, DPM 152 N Titmus Dr, Mastic, NY 11950-1818 Ph: (631) 871-6945 | Dr Charles Durrell Clayton, DPM 152 N Titmus Dr, Mastic, NY 11950-1818 Ph: (631) 871-6945 |
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