Clements Professional Association Pine Mountain is a medicare enrolled primary clinic (General Practice) in Pine Mountain, Georgia. The current practice location for Clements Professional Association Pine Mountain is 211 East Broad St, Pine Mountain, Georgia. For appointments, you can reach them via phone at
(706) 663-2574. The mailing address for Clements Professional Association Pine Mountain is Po Box 516, Pine Mountain, Georgia and phone number is (706) 663-2574.
Clements Professional Association Pine Mountain is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1801083134. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(706) 663-2574.
Primary Care Clinic Profile
| Full Name | Clements Professional Association Pine Mountain |
|---|
| Speciality | General Practice |
|---|
| Location | 211 East Broad St, Pine Mountain, Georgia |
|---|
| Authorized Official Name and Position | Martha D Clements (VP SEC TRES AND MD) |
|---|
| Authorized Official Contact | 7066632574 |
|---|
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Clements Professional Association Pine Mountain
Po Box 516
Pine Mountain
GA 31822-0516
Ph: (706) 663-2574 | Clements Professional Association Pine Mountain
211 East Broad St
Pine Mountain
GA 31822-0516
Ph: (706) 663-2574 |
NPI Details:
| NPI Number | 1801083134 |
|---|
| Provider Enumeration Date | 10/01/2007 |
|---|
| Last Update Date | 01/24/2013 |
|---|
Medicare PECOS Information:
| Medicare PECOS PAC ID | 9032106695 |
|---|
| Medicare Enrollment ID | O20040427000912 |
|---|
Medical Identifiers
Medical identifiers for Clements Professional Association Pine Mountain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801083134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Clements Professional Association Pine Mountain acts as a billing entity for following providers:
| Provider Name | Mack H Clements |
|---|
| Provider Type | Practitioner - Family Practice |
|---|
| Provider Identifiers | NPI Number: 1255331351
PECOS PAC ID: 9133295678
Enrollment ID: I20080905000553 |
|---|
Reviews and Comments