Mr John K Clayshulte Iii, PA-C - Medicare Physician Assistant in Rio Rancho, NM

Mr John K Clayshulte Iii, PA-C is a medicare enrolled "Physician Assistant" in Rio Rancho, New Mexico. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Epiphany Dermatology Of New Mexico, Llc and his current practice location is 2240 Grande Blvd Se Ste 106, Rio Rancho, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 545-6741.

Mr John K Clayshulte Iii is licensed to practice in New Mexico (license number PA2014-0058) 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 1700033156.

Contact Information

Mr John K Clayshulte Iii, PA-C
2240 Grande Blvd Se Ste 106,
Rio Rancho, NM 87124-1751
(505) 545-6741
Not Available

Map and Direction




Provider's Profile

Full NameMr John K Clayshulte Iii
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location2240 Grande Blvd Se Ste 106, Rio Rancho, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr John K Clayshulte Iii graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1700033156
  • Provider Enumeration Date: 08/27/2008
  • Last Update Date: 02/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678795994
  • Enrollment ID: I20141120001679

Medical Identifiers

Medical identifiers for Mr John K Clayshulte Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700033156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA2014-0058 (New Mexico)Primary
363A00000XPhysician Assistant 60632876 (Washington)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Epiphany Dermatology Of New Mexico, Llc408291969123

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. Mr John K Clayshulte Iii 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
Mr John K Clayshulte Iii, PA-C
7300 Ranch Road 2222, Bldg 1, Ste 200,
Austin, TX 78730-3255

Ph: (512) 759-8932
Mr John K Clayshulte Iii, PA-C
2240 Grande Blvd Se Ste 106,
Rio Rancho, NM 87124-1751

Ph: (505) 545-6741

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.