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Marie Elise Clements, MD

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Louisville, KY. Individual provider (NPI-1).

NPI number1578096244
StatusActive
Last updated in NPPESSep 24, 2024

Details

NPI
1578096244
Entity type
Individual (NPI-1)
Name
Marie Elise Clements
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2017
Certification date
Sep 24, 2024
Last updated
Sep 24, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NEUROLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology59118KYYes
390200000X Student in an Organized Health Care Education/Training Program––
2084E0001X Psychiatry & Neurology, Epilepsy59118KY

Practice location

411 E Chestnut St
Louisville, KY 40202-1713

Phone 502-588-3650 · Fax 502-588-7852

Mailing address

Po Box 776879
Chicago, IL 60677-3039

Phone 502-588-9490 · Fax 502-272-5339

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Neurology with Special Qualifications in Child Neurology Physician providers in Louisville, KY

All 21 Neurology with Special Qualifications in Child Neurology Physician providers in Louisville · All 27,512 providers in Louisville

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