DR. STARLETTE MCLEAN D.P.M. NPI 1912900374

Podiatrist in Selma, CA

NPI 1912900374 Individual Female Years of Experience 31 Podiatrist PECOS Enrolled Accepts Medicare Approved Payment

About STARLETTE MCLEAN

Starlette Mclean is a provider established in Selma, California and her medical specialization is podiatrist with more than 31 years of experience. She graduated from California School Of Podiatric Medicine in 1991. The NPI number of Starlette Mclean is 1912900374 and was assigned on May 2005. The practitioner's primary taxonomy code is 213E00000X with license number E3890 (CA). The provider is registered as an individual and her NPI record was last updated 12 years ago.

A podiatrist like Dr. Starlette Mclean D.p.m. provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Starlette Mclean is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)

Starlette Mclean is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Adventist Health Hanford and Adventist Health Reedley.

NPI

1912900374

Provider NameDR. STARLETTE MCLEAN D.P.M.
Provider Location Address2020 HIGH ST STE C SELMA, CA 93662
Provider Mailing Address2020 HIGH ST STE C SELMA, CA 93662
GenderFemale
NPI Entity TypeIndividual
Medical School NameCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year1991
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-31-2005
Last Update Date11-12-2009


Primary Taxonomy

Taxonomy Code213E00000X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.E3890
License StateCA
Taxonomy DescriptionA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

DR. STARLETTE MCLEAN D.P.M.
2020 HIGH ST
STE C
SELMA, CA
ZIP 93662
Phone: (559) 896-7656
Fax: (559) 896-2518

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Mailing Address

DR. STARLETTE MCLEAN D.P.M.
2020 HIGH ST
STE C
SELMA, CA
ZIP 93662
Phone: (559) 896-7656
Fax: (559) 896-2518



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2769506005
PECOS Enrollment IDI20100824000436
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1581Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • 682Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • 586Removal of single thickened skin growth (HCPCS:11055)
  • 425Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Starlette Mclean is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ADVENTIST HEALTH HANFORD115 MALL DRIVE
HANFORD, CA 93230
(209) 410-7200Acute Care Hospitals50121
ADVENTIST HEALTH REEDLEY372 W CYPRESS AVE
REEDLEY, CA 93654
(559) 638-8155Acute Care Hospitals50192

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000E38900MEDICAID (05)CA
U50050MEDICARE UPIN (02)CA
000E38900MEDICARE ID-TYPE UNSPECIFIED (04)CA
1010660001OTHER (01)CA

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720071517 DAVID R KING O.D.
Individual
Optometrist2020 HIGH ST SUITE I
SELMA, CA 93662
(559) 896-3937
1962508945DAVID R. KING, O.D., INC.
Organization
Optometrist2020 HIGH ST STE I
SELMA, CA 93662
(559) 896-3937
1063074953 ERICA CASTILLO
Individual
Case Manager/Care Coordinator2020 HIGH ST
SELMA, CA 93662
(559) 443-4800
1154840528 ANGELA MARIE GARCIA
Individual
Counselor2020 HIGH ST
SELMA, CA 93662
(559) 443-4800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.