Active NPI
William T Clements, M.D.
- Family Medicine Physician
- Wernersville, PA
National Provider Identifier
1720040108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD025869E
- Practice address
- 260 E Washington St
Wernersville, PA 19565-2116 - Phone
- (610) 678-9841
- Fax
- (610) 678-8168
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD025869E | PA | Primary |
Addresses
Primary practice location
260 E Washington St
Wernersville, PA 19565-2116
Mailing address
260 E Washington St
Wernersville, PA 19565-2116
Phone (610) 678-9841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0951009 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100322000381 | PA | Practitioner - Family Practice | 0547395121 | Practice locations: Wernersville, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366070400000",
"number": "1720040108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "260 E WASHINGTON ST",
"city": "WERNERSVILLE",
"state": "PA",
"postal_code": "195652116",
"telephone_number": "610-678-9841",
"fax_number": "610-678-8168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 E WASHINGTON ST",
"city": "WERNERSVILLE",
"state": "PA",
"postal_code": "195652116",
"telephone_number": "610-678-9841",
"fax_number": "610-678-8168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "WILLIAM",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2013-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD025869E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0951009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wernersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.