Dr Scott E Clemensen, MD in Boulder, CO - Medicare Family Medicine

Dr Scott E Clemensen, MD is a medicare enrolled "Family Medicine" physician in Boulder, Colorado. His current practice location is 580 Mohawk Dr, Boulder, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 338-4545.

Dr Scott E Clemensen is licensed to practice in Colorado (license number 47105) 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 1104932888.

Contact Information

	Dr Scott E Clemensen, MD
	580 Mohawk Dr, Boulder, CO 80303-3712
	(303) 338-4545
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Scott E Clemensen
Gender	Male
Speciality	Family Medicine
Location	580 Mohawk Dr, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104932888
Provider Enumeration Date: 08/22/2006
Last Update Date: 04/20/2021

Medicare PECOS Information:

PECOS PAC ID: 9234185984
Enrollment ID: I20081229000624

Medical Identifiers

Medical identifiers for Dr Scott E Clemensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104932888	NPI	-	NPPES
P010228650	Other	NY	BLUE CHOICE
45278857	Medicaid	CO
19471	Other	CO	KAISER COMMERCIAL NUMBER
7132714	Other	NY	AETNA
MDJ022	Other	NY	PREFERRED CARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	228550 (New York)	Secondary
207Q00000X	Family Medicine	47105 (Colorado)	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 Scott E Clemensen allows following entities to bill medicare on his behalf.

Entity Name	Colorado Permanente Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640

Entity Name	First Line Acupuncture Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780371278 PECOS PAC ID: 6204292733 Enrollment ID: O20230525001278

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 Scott E Clemensen 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 Scott E Clemensen, MD 10350 E Dakota Ave, Denver, CO 80247-1314 Ph: () -	Dr Scott E Clemensen, MD 580 Mohawk Dr, Boulder, CO 80303-3712 Ph: (303) 338-4545

Reviews and Comments

Family Medicine Doctors in Boulder, CO

Jill Siegfried, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2750 Broadway St, Boulder, CO 80304 Phone: 303-440-3000
Stefan J. Chimoskey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 Arapahoe Ave, Unit D180, Boulder, CO 80303 Phone: 720-845-5858 Fax: 505-288-3642
Karin Dejong Vanbaak, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5495 Arapahoe Ave, Boulder, CO 80303 Phone: 720-848-9200
Dr. Peter C Ewing, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2995 Baseline Rd, Suite 210, Boulder, CO 80303 Phone: 303-443-2544 Fax: 303-443-6475
Andrew James Mcbride, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1755 48th St Ste 200, Boulder, CO 80301 Phone: 303-415-7450 Fax: 303-494-5265
Dr. Gary S. Kahn, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 995 Quince Ave, Boulder, CO 80304 Phone: 303-395-4321
Dr. Michael Corey Mccarty, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6685 Gunpark Dr, Ste. 110, Boulder, CO 80301 Phone: 303-415-7599 Fax: 303-530-5474

Dr Scott E Clemensen, MD - Medicare Family Medicine in Boulder, CO