Mr Clinton Earl Prescott Jr, MD is a medicare enrolled "Dermatology" physician in Manteca, California. He went to University Of Texas Medical Branch At Galveston and graduated in 1972 and has 53 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Artius Dermatology Associates Pc and his current practice location is
296 Cottage Ave, Manteca, California. You can reach out to his office (for appointments etc.) via phone at
(209) 239-2901.
Mr Clinton Earl Prescott Jr is licensed to practice in California (license number A25653) 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 1457456584.
Physician's Profile
| Full Name | Mr Clinton Earl Prescott Jr |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 53 Years |
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| Location | 296 Cottage Ave, Manteca, California |
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| 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:
- Mr Clinton Earl Prescott Jr attended and graduated from University Of Texas Medical Branch At Galveston in 1972
NPI Data:
- NPI Number: 1457456584
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 04/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 9032205745
- Enrollment ID: I20080519000348
Medical Identifiers
Medical identifiers for Mr Clinton Earl Prescott Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1457456584 | NPI | - | NPPES |
| 00A256532 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | A25653 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Artius Dermatology Associates Pc | 6305126780 | 18 |
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 Clinton Earl Prescott Jr allows following entities to bill medicare on his behalf.
| Entity Name | Artius Dermatology Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245782291 PECOS PAC ID: 6305126780 Enrollment ID: O20161130001172 |
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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 Clinton Earl Prescott Jr 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 Clinton Earl Prescott Jr, MD 296 Cottage Ave, Manteca, CA 95336-4942 Ph: (209) 239-2901 | Mr Clinton Earl Prescott Jr, MD 296 Cottage Ave, Manteca, CA 95336-4942 Ph: (209) 239-2901 |
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