Caitlin Claridge, is a medicare enrolled "Obstetrics & Gynecology" physician in Clarksville, Arkansas. Her current practice location is
1100 E Poplar St Ste A, Clarksville, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 754-5337.
Caitlin Claridge is licensed to practice in Arkansas (license number E-15158) 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 1922503747.
Physician's Profile
| Full Name | Caitlin Claridge |
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| Gender | Female |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1100 E Poplar St Ste A, Clarksville, Arkansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922503747
- Provider Enumeration Date: 03/25/2018
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547516957
- Enrollment ID: I20220915003990
Medical Identifiers
Medical identifiers for Caitlin Claridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922503747 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | E-15158 (Arkansas) | 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. Caitlin Claridge allows following entities to bill medicare on her behalf.
| Entity Name | Johnson Regional Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174583603
PECOS PAC ID: 1658360284
Enrollment ID: O20050307000130 |
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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. Caitlin Claridge 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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Caitlin Claridge,
Po Box 440,
Clarksville, AR 72830-0440
Ph: (479) 754-5337 | Caitlin Claridge,
1100 E Poplar St Ste A,
Clarksville, AR 72830-4401
Ph: (479) 754-5337 |
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