Clayton Womack, CPNP-AC - Medicare Nurse Practitioner in Flagstaff, AZ

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Clayton Womack, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Flagstaff, Arizona. His current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 773-2112.

Clayton Womack is licensed to practice in Arizona (license number 323647) 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 1912378118.

Contact Information

Clayton Womack, CPNP-AC
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(928) 773-2112
Not Available

Map and Direction




Provider's Profile

Full NameClayton Womack
GenderMale
SpecialityNurse Practitioner - Pediatrics, Critical Care
Location1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912378118
  • Provider Enumeration Date: 10/13/2015
  • Last Update Date: 06/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1254638737
  • Enrollment ID: I20160329000193

Medical Identifiers

Medical identifiers for Clayton Womack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912378118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics AP129134 (Texas)Secondary
363LP0222XNurse Practitioner - Pediatrics, Critical Care 323647 (Arizona)Primary
363LA2100XNurse Practitioner - Acute Care AP129134 (Texas)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. Clayton Womack allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameCook Childrens Physician Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750369203
PECOS PAC ID: 7719884584
Enrollment ID: O20040128000800
Entity NameTexas Tech University Health Sciences Center Lubbock
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063461358
PECOS PAC ID: 4385549674
Enrollment ID: O20110318000468
Entity NameSound Physicians Emergency Medicine of Texas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518475557
PECOS PAC ID: 9739449802
Enrollment ID: O20180209001251

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 Womack 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 AddressPractice Location Address
Clayton Womack, CPNP-AC
5219 City Bank Pkwy Ste 35,
Lubbock, TX 79407-3545

Ph: (806) 761-0333		Clayton Womack, CPNP-AC
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 773-2112

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.