Kelly T Clouse, MD in Orange Park, FL

Kelly T Clouse, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Orange Park, Florida. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Memorial Family Practice Associates, Llc and his current practice location is 2021 Professional Center Dr Ste 101, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 213-9210.

Kelly T Clouse is licensed to practice in Florida (license number ME110938) 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 1932104288.

Contact Information

	Kelly T Clouse, MD
	2021 Professional Center Dr Ste 101, Orange Park, FL 32073-4461
	(904) 213-9210
	(904) 213-9211

Map and Direction

Physician's Profile

Full Name	Kelly T Clouse
Gender	Male
Speciality	Psychiatry
Experience	24 Years
Location	2021 Professional Center Dr Ste 101, Orange Park, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly T Clouse attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2000

NPI Data:

NPI Number: 1932104288
Provider Enumeration Date: 06/14/2005
Last Update Date: 01/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4880663947
Enrollment ID: I20120711000150

Medical Identifiers

Medical identifiers for Kelly T Clouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932104288	NPI	-	NPPES
34564000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	ME110938 (Florida)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	46974 (Wisconsin)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Memorial Family Practice Associates, Llc	8820003411	48

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. Kelly T Clouse allows following entities to bill medicare on his behalf.

Entity Name	Memorial Family Practice Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598869844 PECOS PAC ID: 8820003411 Enrollment ID: O20060220000077

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. Kelly T Clouse 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
Kelly T Clouse, MD 2021 Professional Center Dr Ste 101, Orange Park, FL 32073-4461 Ph: (904) 213-9210	Kelly T Clouse, MD 2021 Professional Center Dr Ste 101, Orange Park, FL 32073-4461 Ph: (904) 213-9210

Reviews and Comments

Psychiatry & Neurology Doctors in Orange Park, FL

James Lionel Larson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1543 Kingsley Ave, Bldg 14, Orange Park, FL 32073 Phone: 904-264-6977 Fax: 904-269-0870
Dr. Quang-trung H Dang, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-213-9210 Fax: 563-447-4148
Dr. Yvonne A Soliman I, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 732 Duart Dr, Orange Park, FL 32073 Phone: 904-276-5237 Fax: 904-272-3510
Mrs. Ana Maria Jorquera, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 421 Kingsley Ave Ste 400, Orange Park, FL 32073 Phone: 904-268-1166 Fax: 904-268-1037
Suhas Vishnu Joshi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1543 Kingsley Ave Ste 14, Orange Park, FL 32073 Phone: 904-264-6977 Fax: 904-269-0870
Dr. Muhammad Adnan Sharifi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2001 Kingsley Ave, Orange Park, FL 32073 Phone: 904-639-2000 Fax: 909-634-2015
Ubaid Aslam Khokhar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1543 Kingsley Ave Ste 14, Orange Park, FL 32073 Phone: 904-264-6977 Fax: 904-269-0870

Kelly T Clouse, MD - Medicare Psychiatry in Orange Park, FL