Dr John Kittrell Clyde, DPM - Medicare Podiatrist in Covington, WA

Dr John Kittrell Clyde, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Covington, Washington. He went to William M. Scholl College Of Podiatric Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Inland Northwest Surgery Center Pllc, Valley Medical Group-renton and his current practice location is 27500 168th Pl Se, Covington, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 690-3510.

Dr John Kittrell Clyde is licensed to practice in Washington (license number PO60253252) 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 1831402841.

Contact Information

Dr John Kittrell Clyde, DPM
27500 168th Pl Se,
Covington, WA 98042-5563
(425) 690-3510
(425) 690-9510



Healthcare Provider's Profile

Full NameDr John Kittrell Clyde
GenderMale
SpecialityPodiatry
Experience15 Years
Location27500 168th Pl Se, Covington, Washington
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:
  • Dr John Kittrell Clyde attended and graduated from William M. Scholl College Of Podiatric Medicine in 2009
  NPI Data:
  • NPI Number: 1831402841
  • Provider Enumeration Date: 07/19/2010
  • Last Update Date: 08/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789840927
  • Enrollment ID: I20120717000002

Medical Identifiers

Medical identifiers for Dr John Kittrell Clyde such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831402841NPI-NPPES
2020121MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery PO60253252 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Valley Medical CenterRenton, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inland Northwest Surgery Center Pllc06481690943
Valley Medical Group-renton4183753965408

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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. Dr John Kittrell Clyde allows following entities to bill medicare on his behalf.
Provider NameInland Northwest Surgery Center Pllc
Provider TypePart B Supplier - Ambulatory Surgical Center
Provider IdentifiersNPI Number: 1467637116
PECOS PAC ID: 0648169094
Enrollment ID: O20040312001108

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Provider NameInland Northwest Surgery Center Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1134127657
PECOS PAC ID: 0648169094
Enrollment ID: O20050420001286

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Provider NameValley Medical Group-renton
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1619209574
PECOS PAC ID: 4183753965
Enrollment ID: O20100604000113

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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. Dr John Kittrell Clyde 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
Dr John Kittrell Clyde, DPM
3600 Lind Ave Sw, Suite 100 Attn Credentialing,
Renton, WA 98057-4970

Ph: (425) 690-2715
Dr John Kittrell Clyde, DPM
27500 168th Pl Se,
Covington, WA 98042-5563

Ph: (425) 690-3510

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Podiatrist in Covington, WA

Kent Foot & Ankle Clinic
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 17700 Se 272nd St Ste 370, Covington, WA 98042
Phone: 253-631-0585    
Andrew Park, D.P.M.
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 27500 168th Pl Se, Covington, WA 98042
Phone: 425-690-3430    Fax: 425-690-9430
Ryan Alan Bierman, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 17700 Se 272nd St, Suite 370, Covington, WA 98042
Phone: 253-631-0585    Fax: 253-631-0596
Kent Foot & Ankle Clinic
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 17700 Se 272nd St, Suite 370, Covington, WA 98042
Phone: 253-631-0585    Fax: 253-631-0596

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