Josette Jovero-clodfelter, is a medicare enrolled "Family Medicine" in Olney, Illinois. Her current practice location is
1200 N East St, Olney, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 392-2940.
Josette Jovero-clodfelter is licensed to practice in Illinois (license number 209019979) 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 1659857886.
Provider's Profile
| Full Name | Josette Jovero-clodfelter |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 1200 N East St, Olney, Illinois |
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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: 1659857886
- Provider Enumeration Date: 07/11/2018
- Last Update Date: 12/31/2019
Medicare PECOS Information:
- PECOS PAC ID: 5890043574
- Enrollment ID: I20180813002837
Medical Identifiers
Medical identifiers for Josette Jovero-clodfelter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659857886 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71008098A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 209019979 (Illinois) | 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. Josette Jovero-clodfelter allows following entities to bill medicare on her behalf.
| Entity Name | Good Samaritan Hospital Physician Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649432071
PECOS PAC ID: 3971671330
Enrollment ID: O20081013000182 |
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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. Josette Jovero-clodfelter 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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Josette Jovero-clodfelter,
800 E Locust St,
Olney, IL 62450-2553
Ph: (618) 395-7340 | Josette Jovero-clodfelter,
1200 N East St,
Olney, IL 62450-2432
Ph: (618) 392-2940 |
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