Nicole Dora Mcclavy, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Perry, Iowa. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Broadlawns Medical Center and her current practice location is
610 10th St, Perry, Ia 50220, Perry, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 465-7541.
Nicole Dora Mcclavy is licensed to practice in Iowa (license number G155000) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053963900.
Provider's Profile
| Full Name | Nicole Dora Mcclavy |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 610 10th St, Perry, Ia 50220, Perry, Iowa |
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| Accepts Medicare Assignments | Yes. She 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:
- Nicole Dora Mcclavy graduated from nursing school in 2019
NPI Data:
- NPI Number: 1053963900
- Provider Enumeration Date: 07/11/2019
- Last Update Date: 07/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 9335477132
- Enrollment ID: I20190816002755
Medical Identifiers
Medical identifiers for Nicole Dora Mcclavy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053963900 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G155000 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Broadlawns Medical Center | 3678466166 | 207 |
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. Nicole Dora Mcclavy allows following entities to bill medicare on her behalf.
| Entity Name | Broadlawns Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467447508
PECOS PAC ID: 3678466166
Enrollment ID: O20040206000913 |
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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. Nicole Dora Mcclavy 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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Nicole Dora Mcclavy, PMHNP-BC
4037 11th Pl,
Des Moines, IA 50313-3232
Ph: () - | Nicole Dora Mcclavy, PMHNP-BC
610 10th St, Perry, Ia 50220,
Perry, IA 50220
Ph: (515) 465-7541 |
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