ALLEN O CLYDE D.P.M.
NPI 1962538462
Podiatrist - Foot & Ankle Surgery in Clovis, CA
- Individual
- Male
- Podiatrist
- Foot & Ankle Surgery
- PECOS Enrolled
About ALLEN CLYDE
This page provides the complete NPI Profile along with additional information for Allen Clyde, a provider established in Clovis, California with a medical specialization in Podiatrist, focusing in foot & ankle surgery . The healthcare provider is registered in the NPI registry with number 1962538462 assigned on February 2007. The practitioner's primary taxonomy code is 213ES0103X with license number E1976 (CA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1962538462 Verify this NPI
- Provider Name
- ALLEN O CLYDE D.P.M.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 688 MEDICAL CENTER DR E SUITE 106 CLOVIS, CA 93611
- Location Phone
- (559) 297-8604
- Location Fax
- (559) 297-0625
- Mailing Address
- 688 MEDICAL CENTER DR E SUITE 106 CLOVIS, CA 93611
- Mailing Phone
- (559) 297-8604
- Mailing Fax
- (559) 297-0625
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-26-2007
- Last Update Date
- 03-07-2023
- Code Navigator
Location Map
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
Podiatrist Foot & Ankle Surgery
- Taxonomy Code
- 213ES0103X
- Type
- Podiatric Medicine & Surgery Service Providers
- License No.
- E1976
- License State
- CA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E19760 | OTHER (01) | CA | CALIFORNIA LICENSE |
| 946424550 | OTHER (01) | CA | TAX ID |
| E1976 | OTHER (01) | CA | PODIATRIC MEDICINE |
| 000E19760 | MEDICAID (05) | CA |
Medicare Participation & PECOS Enrollment Status
Allen Clyde 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: Durable Medical Equipment (DME).
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
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962538462, enumerated as an "individual" on February 26, 2007.
The provider is located at 688 MEDICAL CENTER DR E SUITE 106 CLOVIS, CA 93611 and the phone number is (559) 297-8604.
Podiatrist with taxonomy code 213ES0103X and a focus in Foot & Ankle Surgery.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
