Dr Clyde R Roy Iii, MD is a medicare enrolled "Urology" physician in New Iberia, Louisiana. His current practice location is
602 N Lewis St, Suite 400, New Iberia, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 365-4113.
Dr Clyde R Roy Iii is licensed to practice in Louisiana (license number 016789) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720085699.
Physician's Profile
| Full Name | Dr Clyde R Roy Iii |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 602 N Lewis St, New Iberia, Louisiana |
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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: 1720085699
- Provider Enumeration Date: 07/06/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648337493
- Enrollment ID: I20100823000234
Medical Identifiers
Medical identifiers for Dr Clyde R Roy Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720085699 | NPI | - | NPPES |
| 1969290 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 016789 (Louisiana) | 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. Dr Clyde R Roy Iii allows following entities to bill medicare on his behalf.
| Entity Name | Iberia Medical Center Physician Practice Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518265297 PECOS PAC ID: 3476730847 Enrollment ID: O20110613000164 |
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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. Dr Clyde R Roy Iii 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 |
Dr Clyde R Roy Iii, MD 602 N Lewis St, Suite 400, New Iberia, LA 70563-2093 Ph: (337) 365-4113 | Dr Clyde R Roy Iii, MD 602 N Lewis St, Suite 400, New Iberia, LA 70563-2093 Ph: (337) 365-4113 |
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