Nicole Danielle Clendenin, FNP, APRN-CNP - Medicare Nurse Practitioner in Scott Depot, WV

Nicole Danielle Clendenin, FNP, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Scott Depot, West Virginia. Her current practice location is 23 Thoroughbred Rd, Scott Depot, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 545-8478.

Nicole Danielle Clendenin is licensed to practice in West Virginia (license number 103825) 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 1770127516.

Contact Information

Nicole Danielle Clendenin, FNP, APRN-CNP
23 Thoroughbred Rd,
Scott Depot, WV 25560-9679
(304) 545-8478
Not Available



Provider's Profile

Full NameNicole Danielle Clendenin
GenderFemale
SpecialityNurse Practitioner - Family
Location23 Thoroughbred Rd, Scott Depot, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770127516
  • Provider Enumeration Date: 11/05/2019
  • Last Update Date: 06/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305236332
  • Enrollment ID: I20211207001536

Medical Identifiers

Medical identifiers for Nicole Danielle Clendenin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770127516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 103825 (West Virginia)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. Nicole Danielle Clendenin allows following entities to bill medicare on her behalf.
Entity NameCharleston Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124248752
PECOS PAC ID: 3375441637
Enrollment ID: O20031223000426

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Entity NameComprehensive Rehab Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710529771
PECOS PAC ID: 6800220682
Enrollment ID: O20220923000191

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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 Danielle Clendenin 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
Nicole Danielle Clendenin, FNP, APRN-CNP
23 Thoroughbred Rd,
Scott Depot, WV 25560-9679

Ph: () -
Nicole Danielle Clendenin, FNP, APRN-CNP
23 Thoroughbred Rd,
Scott Depot, WV 25560-9679

Ph: (304) 545-8478

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Nurse Practitioner Nurses in Scott Depot, WV

Ms. Breann Hawley Thomas, WHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560
Phone: 304-757-6999    Fax: 304-201-5019
Mrs. Dawn Lynn Grigsby, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 97 Great Teays Blvd, Ste 6, Scott Depot, WV 25560
Phone: 304-757-6999    Fax: 304-757-3252
Annette Gaskins, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 97 Great Teays Blvd, Suite 6, Scott Depot, WV 25560
Phone: 304-757-6999    Fax: 304-757-3252
Jessica Allen, APRN-FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 111 Great Teays Blvd, Scott Depot, WV 25560
Phone: 304-757-8459    Fax: 304-757-6904
Gina Lee Lathey, APRN FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Corporate Center Drive, Scott Depot, WV 25560
Phone: 304-691-6800    
Lydia Smith, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 112 Quarterhorse Dr, Scott Depot, WV 25560
Phone: 304-685-1901    
Jodi H Biller, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 Corporate Center Dr., Scott Depot, WV 25560
Phone: 304-691-6800    

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