Clare K Devine, is a medicare enrolled "Physician Assistant - Medical" in Montgomery City, Missouri. Her current practice location is
504 N Sturgeon St, Montgomery City, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 564-2990.
Clare K Devine is licensed to practice in Missouri (license number 2024034186) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518654482.
Provider's Profile
| Full Name | Clare K Devine |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 504 N Sturgeon St, Montgomery City, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518654482
- Provider Enumeration Date: 04/20/2023
- Last Update Date: 11/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284174434
- Enrollment ID: I20240913002916
Medical Identifiers
Medical identifiers for Clare K Devine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518654482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 2024034186 (Missouri) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
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. Clare K Devine allows following entities to bill medicare on her behalf.
| Entity Name | Hermann Area Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083749188
PECOS PAC ID: 5496669962
Enrollment ID: O20031118000740 |
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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. Clare K Devine 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 |
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Clare K Devine,
2411 Holmes St,
Kansas City, MO 64108-2741
Ph: (816) 235-5412 | Clare K Devine,
504 N Sturgeon St,
Montgomery City, MO 63361-1829
Ph: (573) 564-2990 |
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