Ms Carson Mitchell Clemons, PA-C - Medicare Physician Assistant in Jacksonville, FL

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Ms Carson Mitchell Clemons, PA-C is a medicare enrolled "Physician Assistant" in Jacksonville, Florida. Her current practice location is 4268 Oldfield Crossing Dr Ste 303, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 325-9386.

Ms Carson Mitchell Clemons is licensed to practice in Florida (license number 9114474) 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 1710654348.

Contact Information

Ms Carson Mitchell Clemons, PA-C
4268 Oldfield Crossing Dr Ste 303,
Jacksonville, FL 32223-7899
(904) 325-9386
(904) 650-2911

Map and Direction




Provider's Profile

Full NameMs Carson Mitchell Clemons
GenderFemale
SpecialityPhysician Assistant
Location4268 Oldfield Crossing Dr Ste 303, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710654348
  • Provider Enumeration Date: 08/23/2021
  • Last Update Date: 01/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698170652
  • Enrollment ID: I20210830001330

Medical Identifiers

Medical identifiers for Ms Carson Mitchell Clemons such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710654348NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA63282 (California)Secondary
363A00000XPhysician Assistant 11875 (Georgia)Secondary
363A00000XPhysician Assistant 9114474 (Florida)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. Ms Carson Mitchell Clemons allows following entities to bill medicare on her behalf.
Entity NameFlorida Trauma Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477296952
PECOS PAC ID: 3971985938
Enrollment ID: O20220808001578

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. Ms Carson Mitchell Clemons 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
Ms Carson Mitchell Clemons, PA-C
4268 Oldfield Crossing Dr Ste 303,
Jacksonville, FL 32223-7899

Ph: (904) 325-9386		Ms Carson Mitchell Clemons, PA-C
4268 Oldfield Crossing Dr Ste 303,
Jacksonville, FL 32223-7899

Ph: (904) 325-9386

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.