KAREN DECLUE PA-C
NPI 1174858534
Physician Assistant - Medical in Highland Park, CA

NPI Status: Active since October 02, 2009

Contact Information

5059 YORK BLVD
HIGHLAND PARK, CA
ZIP 90042
Phone: (323) 344-4144
Fax: (323) 344-4146

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  • Individual
  • Female
  • Years of Experience 16
  • Physician Assistant
  • Medical
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About KAREN DECLUE

Karen Declue is a primary care provider established in Highland Park, California and her medical specialization is Physician Assistant with a focus in medical with more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1174858534 assigned on October 2009. The practitioner's primary taxonomy code is 363AM0700X with license number PA20524 (CA). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1174858534
Provider Name
KAREN DECLUE PA-C
Gender
Female
Entity Type
Individual
Location Address
5059 YORK BLVD HIGHLAND PARK, CA 90042
Location Phone
(323) 344-4144
Location Fax
(323) 344-4146
Mailing Address
801 S CHEVY CHASE DR #20 GLENDALE, CA 91205
Mailing Phone
(818) 755-8000
Mailing Fax
(323) 344-4146
Medical School Name
OTHER
Graduation Year
2009
Is Sole Proprietor?
No
Enumeration Date
10-02-2009
Last Update Date
01-30-2013
Code Navigator

A primary care provider (PCP) like Karen Declue sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Karen Declue is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA20524
License State
CA

PECOS Enrollment and Medicare Participation Status

Karen Declue is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3577749522

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110509000870

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 27

    Hemoglobin a1c level (HCPCS:83036)

Reviews for KAREN DECLUE PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174858534
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441651656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 5 + 1 + 6 + 5 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1174858534 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043260086MS. ROSINA BURNIS FRIZE P.A.
Individual
Physician Assistant5059 YORK BLVD
LOS ANGELES, CA 90042
(323) 344-4144
1346423795MS. PATRICIA TALARO PA-C
Individual
Physician Assistant5059 YORK BLVD
LOS ANGELES, CA 90042
(323) 344-4144
1083886741DR. AMELIA MURTI FAN MD
Individual
Pediatrics5059 YORK BLVD MS#68
LOS ANGELES, CA 90042
(323) 344-4144
1972768927 DEISY A MENDOZA PA
Individual
Physician Assistant5059 YORK BLVD
LOS ANGELES, CA 90042
(323) 344-4144
1003052721 VADIM GALPERIN
Individual
Physician Assistant5059 YORK BLVD
LOS ANGELES, CA 90042
(323) 344-4144
1245210749COMPREHENSIVE COMMUNITY HEALTH CENTERS INC
Organization
Family Medicine5059 YORK BLVD
LOS ANGELES, CA 90042
(323) 344-4144

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174858534, enumerated in the NPI registry as an "individual" on October 02, 2009

The provider is located at 5059 York Blvd Highland Park, Ca 90042 and the phone number is (323) 344-4144

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 16 years of experience.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Hemoglobin a1c level.

This NPI record was last updated on October 02, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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