Clayton James King, PA-C is a medicare enrolled "Physician Assistant" in Gleason, Tennessee. His current practice location is
105 N Cedar St, Gleason, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 648-5634.
Clayton James King is licensed to practice in Tennessee (license number 2450) 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 1568893782.
Provider's Profile
| Full Name | Clayton James King |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 105 N Cedar St, Gleason, Tennessee |
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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: 1568893782
- Provider Enumeration Date: 12/13/2013
- Last Update Date: 08/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901037183
- Enrollment ID: I20140401002181
Medical Identifiers
Medical identifiers for Clayton James King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568893782 | NPI | - | NPPES |
| 3301090 | Medicaid | TN | |
| 3380640 | Other | TN | GROUP MEDICADI |
| Q003304 | Medicaid | TN | |
| 3380640 | Other | TN | GROUP MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 2450 (Tennessee) | Primary |
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. Clayton James King 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 |
|---|
Clayton James King, PA-C
205 Hospital Dr, Suite A,
Mc Kenzie, TN 38201-1649
Ph: (731) 352-7907 | Clayton James King, PA-C
105 N Cedar St,
Gleason, TN 38229-7264
Ph: (731) 648-5634 |
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