Mr Claiborne Tucker Perdue Iii, NP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Midlothian, Virginia. His current practice location is
1326 Alverser Plz, Midlothian, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 302-5212.
Mr Claiborne Tucker Perdue Iii is licensed to practice in Virginia (license number 0024175245) 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 1811412158.
Physician's Profile
Full Name | Mr Claiborne Tucker Perdue Iii |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 1326 Alverser Plz, Midlothian, Virginia |
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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: 1811412158
- Provider Enumeration Date: 08/08/2017
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698034106
- Enrollment ID: I20180109000003
Medical Identifiers
Medical identifiers for Mr Claiborne Tucker Perdue Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811412158 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0024175245 (Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024175245 (Virginia) | 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. Mr Claiborne Tucker Perdue Iii allows following entities to bill medicare on his behalf.
Entity Name | Bon Secours St Marys Hospital Of Richmond Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962464016 PECOS PAC ID: 8527969476 Enrollment ID: O20040324000566 |
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Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
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Entity Name | Bon Secours Medical Group Richmond Primary Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861050635 PECOS PAC ID: 3476986613 Enrollment ID: O20191203000156 |
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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. Mr Claiborne Tucker Perdue 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 |
Mr Claiborne Tucker Perdue Iii, NP-C 1326 Alverser Plz, Midlothian, VA 23113-2604 Ph: (804) 302-5212 | Mr Claiborne Tucker Perdue Iii, NP-C 1326 Alverser Plz, Midlothian, VA 23113-2604 Ph: (804) 302-5212 |
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