Dr Daryl De'andre' Mc Clendon, DO - Medicare Family Practice in Enfield, CT

Dr Daryl De'andre' Mc Clendon, DO is a medicare enrolled "Family Medicine" physician in Enfield, Connecticut. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Middletown Medical Pc, Hartford Healthcare Medical Group Inc and his current practice location is 100 Hazard Ave Ste 101, Enfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 696-2380.

Dr Daryl De'andre' Mc Clendon is licensed to practice in Connecticut (license number 53889) 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 1568795359.

Contact Information

Dr Daryl De'andre' Mc Clendon, DO
100 Hazard Ave Ste 101,
Enfield, CT 06082-5447
(860) 696-2380
Not Available

Map and Direction




Physician's Profile

Full NameDr Daryl De'andre' Mc Clendon
GenderMale
SpecialityFamily Practice
Experience20 Years
Location100 Hazard Ave Ste 101, Enfield, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Daryl De'andre' Mc Clendon graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1568795359
  • Provider Enumeration Date: 09/10/2009
  • Last Update Date: 02/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729126099
  • Enrollment ID: I20091105000599

Medical Identifiers

Medical identifiers for Dr Daryl De'andre' Mc Clendon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568795359NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 254774 (New York)Secondary
207Q00000XFamily Medicine 53889 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Middletown Medical Pc2567464308141
Hartford Healthcare Medical Group Inc1153573902221

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 Daryl De'andre' Mc Clendon allows following entities to bill medicare on his behalf.
Entity NameMiddletown Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902855828
PECOS PAC ID: 2567464308
Enrollment ID: O20070208000144
Entity NameBrownsville Community Development Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578612412
PECOS PAC ID: 7416903323
Enrollment ID: O20071130000198
Entity NamePort City Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134370547
PECOS PAC ID: 0345301917
Enrollment ID: O20081202000420
Entity NameAdvantagecare Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336578772
PECOS PAC ID: 2365735008
Enrollment ID: O20160719000446

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 Daryl De'andre' Mc Clendon 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 AddressPractice Location Address
Dr Daryl De'andre' Mc Clendon, DO
100 Hazard Ave Ste 101,
Enfield, CT 06082-5447

Ph: (860) 696-2380
Dr Daryl De'andre' Mc Clendon, DO
100 Hazard Ave Ste 101,
Enfield, CT 06082-5447

Ph: (860) 696-2380

Reviews and Comments


Family Medicine Doctors in Enfield, CT

Lynne E. Manning, DO
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Phone: 860-253-9024    Fax: 860-253-9593
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Dr. Michele Marie Trela Bowdy, M.D.
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Practice Location: 9 Cranbrook Blvd Fl 2, Enfield, CT 06082
Phone: 860-749-2251    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.