Clarence Jaron Brunson, MD is a medicare enrolled "Family Medicine" provider in Jerome, Idaho. He graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice St Lukes Clinic Llc and his current practice location is
132 5th Ave W Ste 1and2, Jerome, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 814-9800.
Clarence Jaron Brunson is licensed to practice in Idaho (license number M-13372) 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 1851556229.
Healthcare Provider's Profile
| Full Name | Clarence Jaron Brunson |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 13 Years |
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| Location | 132 5th Ave W Ste 1and2, Jerome, Idaho |
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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. |
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Medical Education and Training:
- Clarence Jaron Brunson graduated from medical school in 2013
NPI Data:
- NPI Number: 1851556229
- Provider Enumeration Date: 07/24/2008
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385960210
- Enrollment ID: I20221117001861
Medical Identifiers
Medical identifiers for Clarence Jaron Brunson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851556229 | NPI | - | NPPES |
| 1851556229 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 6254 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | M-13372 (Idaho) | Primary |
| 208600000X | Surgery | M-13372 (Idaho) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Lukes Clinic Llc | 1052217478 | 313 |
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. Clarence Jaron Brunson allows following entities to bill medicare on his behalf.
| Provider Name | St Peters Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205025145
PECOS PAC ID: 7911814926
Enrollment ID: O20031204001245 |
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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. Clarence Jaron Brunson 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 |
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Clarence Jaron Brunson, MD
190 E Bannock St,
Boise, ID 83712-6241
Ph: Not Available | Clarence Jaron Brunson, MD
132 5th Ave W Ste 1and2,
Jerome, ID 83338-1825
Ph: (208) 814-9800 |
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