Dr Jenkins Lucas Clarkson, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Powell, Wyoming. His current practice location is
450 Mountain View, Powell Valley Healthcare, Powell, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 754-7257.
Dr Jenkins Lucas Clarkson is licensed to practice in Wyoming (license number 9432A) 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 1861500654.
Physician's Profile
Full Name | Dr Jenkins Lucas Clarkson |
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Gender | Male |
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Speciality | Obstetrics & Gynecology |
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Location | 450 Mountain View, Powell, Wyoming |
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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: 1861500654
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 03/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 5294779351
- Enrollment ID: I20131003000425
Medical Identifiers
Medical identifiers for Dr Jenkins Lucas Clarkson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861500654 | NPI | - | NPPES |
8911641 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | MD25997 (Oregon) | Secondary |
207V00000X | Obstetrics & Gynecology | 98-00815 (North Carolina) | Secondary |
207V00000X | Obstetrics & Gynecology | 9432A (Wyoming) | 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 Jenkins Lucas Clarkson allows following entities to bill medicare on his behalf.
Entity Name | Powell Valley Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699721316 PECOS PAC ID: 5092798561 Enrollment ID: O20040608000424 |
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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 Jenkins Lucas Clarkson 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 Jenkins Lucas Clarkson, MD 777 Ave H, Powell Valley Healthcare, Powell, WY 82435 Ph: (307) 754-7257 | Dr Jenkins Lucas Clarkson, MD 450 Mountain View, Powell Valley Healthcare, Powell, WY 82435 Ph: (307) 754-7257 |
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