Ms Jennifer Lea Lea Claycomb, MD in Dulce, NM

Ms Jennifer Lea Lea Claycomb, MD is a medicare enrolled "Family Medicine" physician in Dulce, New Mexico. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cherokee Nation and her current practice location is 500 North Mundo, Dulce, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 759-3291.

Ms Jennifer Lea Lea Claycomb is licensed to practice in Missouri (license number 2005019602) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144323353.

Contact Information

	Ms Jennifer Lea Lea Claycomb, MD
	500 North Mundo, Dulce, NM 87528-0187
	(505) 759-3291
	(505) 759-3532

Map and Direction

Physician's Profile

Full Name	Ms Jennifer Lea Lea Claycomb
Gender	Female
Speciality	Family Practice
Experience	20 Years
Location	500 North Mundo, Dulce, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Jennifer Lea Lea Claycomb attended and graduated from University Of Missouri, Columbia School Of Medicine in 2004

NPI Data:

NPI Number: 1144323353
Provider Enumeration Date: 09/06/2006
Last Update Date: 05/25/2011

Medicare PECOS Information:

PECOS PAC ID: 7517058191
Enrollment ID: I20070810000673

Medical Identifiers

Medical identifiers for Ms Jennifer Lea Lea Claycomb such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144323353	NPI	-	NPPES
000K3526	Medicaid	NM
01929259	Medicaid	NM
HSZ196	Other	NM	MEDICARE PART B
8HN171	Other	NM	PROVIDER MEDICARE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2005019602 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Professional Home Health	Sallisaw, OK	Home health agency
Cherokee Nation W W Hastings Indian Hospital	Tahlequah, OK	Hospital
Northeastern Health System	Tahlequah, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cherokee Nation	5799698742	329

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. Ms Jennifer Lea Lea Claycomb allows following entities to bill medicare on her behalf.

Entity Name	Cherokee Nation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628

Entity Name	Dulce Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750388963 PECOS PAC ID: 7012991839 Enrollment ID: O20040617000747

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. Ms Jennifer Lea Lea Claycomb 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
Ms Jennifer Lea Lea Claycomb, MD Po Box 187, Dulce, NM 87528-0187 Ph: (505) 759-3291	Ms Jennifer Lea Lea Claycomb, MD 500 North Mundo, Dulce, NM 87528-0187 Ph: (505) 759-3291

Reviews and Comments

Family Medicine Doctors in Dulce, NM

Sirpa T. Autio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 N Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-3532
Dr. Joan E Kandel, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 90 Medicine Way, Dulce, NM 87528 Phone: 505-360-5995
Steven John Petrakis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294
Dr. Bichson Pham, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 North Mundo, Dulce, NM 87528 Phone: 575-759-3291
Steven Paul Gross, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12000 Stone Lake Road, Dulce, NM 87528 Phone: 575-759-7232 Fax: 575-759-7294
Dr. Raquel Irene Cisneros, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 N. Mundo Dr., Dulce, NM 87528 Phone: 575-759-3291 Fax: 575-759-7294

Ms Jennifer Lea Lea Claycomb, MD - Medicare Family Practice in Dulce, NM