Mrs Mercedes Ludivina Clement, LPCI is a medicare enrolled "Counselor - Mental Health" provider in Groves, Texas. Her current practice location is
6265 39th St, Groves, Texas. You can reach out to her office (for appointments etc.) via phone at
(409) 962-4400.
Mrs Mercedes Ludivina Clement is licensed to practice in Texas (license number 84156) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609474634.
Healthcare Provider's Profile
Full Name | Mrs Mercedes Ludivina Clement |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 6265 39th St, Groves, Texas |
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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: 1609474634
- Provider Enumeration Date: 10/12/2020
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183036718
- Enrollment ID: I20240624004637
Medical Identifiers
Medical identifiers for Mrs Mercedes Ludivina Clement such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609474634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 84156 (Texas) | Primary |
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. Mrs Mercedes Ludivina Clement allows following entities to bill medicare on her behalf.
Entity Name | Roussel Clement Mdpa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720147762 PECOS PAC ID: 4486655446 Enrollment ID: O20070118000416 |
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Entity Name | Mercedes Clement Lpc Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356165286 PECOS PAC ID: 3678000676 Enrollment ID: O20250102000730 |
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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. Mrs Mercedes Ludivina Clement 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 |
Mrs Mercedes Ludivina Clement, LPCI 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 | Mrs Mercedes Ludivina Clement, LPCI 6265 39th St, Groves, TX 77619-4614 Ph: (409) 962-4400 |
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