Gerald W Clevenger, PAC is a medicare enrolled "Physician Assistant" in Troy, Kansas. He graduated from nursing school in 1977 and has 47 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Amberwell Atchison Association, Hiawatha Hospital Association Inc and his current practice location is
311 W. Locust St., Troy, Kansas. You can reach out to his office (for appointments etc.) via phone at
(785) 985-3504.
Gerald W Clevenger is licensed to practice in Kansas (license number 1500117) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083610646.
Provider's Profile
| Full Name | Gerald W Clevenger |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 47 Years |
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| Location | 311 W. Locust St., Troy, Kansas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gerald W Clevenger graduated from nursing school in 1977
NPI Data:
- NPI Number: 1083610646
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 04/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 7012959026
- Enrollment ID: I20050531000532
Medical Identifiers
Medical identifiers for Gerald W Clevenger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083610646 | NPI | - | NPPES |
| 100098780E | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1500117 (Kansas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Amberwell Atchison Association | 2466363858 | 46 |
| Hiawatha Hospital Association Inc | 9032007364 | 41 |
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. Gerald W Clevenger 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 |
|---|
Gerald W Clevenger, PAC
311 W Locust St,
Troy, KS 66087-5252
Ph: (785) 985-3504 | Gerald W Clevenger, PAC
311 W. Locust St.,
Troy, KS 66087
Ph: (785) 985-3504 |
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