John Clemmons, PHD in Hattiesburg, MS - Medicare Clinical Psychologist Provider

John Clemmons, PHD is a medicare enrolled "Psychologist" provider in Hattiesburg, Mississippi. He graduated from medical school in 2004 and has 21 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Wesley Physician Services Llc and his current practice location is 239 Methodist Blvd, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 296-2125.

John Clemmons is licensed to practice in Mississippi (license number 52911) 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 1104916766.

Contact Information

	John Clemmons, PHD
	239 Methodist Blvd, Hattiesburg, MS 39402-1297
	(601) 296-2125
	(601) 268-8645

Map and Direction

Healthcare Provider's Profile

Full Name	John Clemmons
Gender	Male
Speciality	Clinical Psychologist
Experience	21 Years
Location	239 Methodist Blvd, Hattiesburg, Mississippi
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:

John Clemmons graduated from medical school in 2004

NPI Data:

NPI Number: 1104916766
Provider Enumeration Date: 10/13/2006
Last Update Date: 10/08/2020

Medicare PECOS Information:

PECOS PAC ID: 6709807563
Enrollment ID: I20121106000568

Medical Identifiers

Medical identifiers for John Clemmons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104916766	NPI	-	NPPES
03051508	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	52911 (Mississippi)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	52911 (Mississippi)	Secondary
103T00000X	Psychologist	52911 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wesley Physician Services Llc	2466559851	42

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. John Clemmons allows following entities to bill medicare on his behalf.

Entity Name	Wesley Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538200209 PECOS PAC ID: 2466559851 Enrollment ID: O20070518000496

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. John Clemmons 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
John Clemmons, PHD 239 Methodist Blvd, Hattiesburg, MS 39402-1297 Ph: (601) 296-2125	John Clemmons, PHD 239 Methodist Blvd, Hattiesburg, MS 39402-1297 Ph: (601) 296-2125

Reviews and Comments

Psychologist in Hattiesburg, MS

Dr. Kristy Disabatino Mcraney, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 129 Golden Eagle Avenue Rm 201, Hattiesburg, MS 39406 Phone: 601-266-4588 Fax: 601-266-6928
Lynwood Clinton Wheeler, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 102 Medical Park, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-545-1740
Marcia J Hartwig, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5620 Fax: 601-268-5720
Ryan Myles Denney, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2 Southern Point Pkwy, Suite 200, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-268-2039
John Richard Harsh, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Courtenay Cir, Hattiesburg, MS 39402 Phone: 601-579-5180
Dr. Sidne Buelow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 104 Dogwood Dr, Hattiesburg, MS 39402 Phone: 601-818-3079

John Clemmons, PHD - Medicare Psychologist in Hattiesburg, MS