Dr John H Verhulst, MD - Medicare Surgery in Covington, LA

Dr John H Verhulst, MD is a medicare enrolled "Surgery" physician in Covington, Louisiana. His current practice location is 606 W 11th Ave, Covington, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 892-3766.

Dr John H Verhulst is licensed to practice in Louisiana (license number L03978R) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053312223.

Contact Information

Dr John H Verhulst, MD
606 W 11th Ave,
Covington, LA 70433-3630
(985) 892-3766
(985) 893-9567

Map and Direction




Physician's Profile

Full NameDr John H Verhulst
GenderMale
SpecialitySurgery
Location606 W 11th Ave, Covington, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053312223
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 03/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5294801437
  • Enrollment ID: I20080911000461

Medical Identifiers

Medical identifiers for Dr John H Verhulst such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053312223NPI-NPPES
1328928MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery L03978R (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr John H Verhulst allows following entities to bill medicare on his behalf.
Entity NameSt Tammany Parish Hospital Service District No 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275539363
PECOS PAC ID: 0749273761
Enrollment ID: O20040406000728
Entity NameSt Tammany Parish Hospital Service District No 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598798597
PECOS PAC ID: 0749273761
Enrollment ID: O20051102000003

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John H Verhulst is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John H Verhulst, MD
Po Box 54482, Attn: Managed Care Department,
New Orleans, LA 70154-4482

Ph: (985) 892-3766
Dr John H Verhulst, MD
606 W 11th Ave,
Covington, LA 70433-3630

Ph: (985) 892-3766

Reviews and Comments


Surgery Doctors in Covington, LA

Mark Jason Dominguez, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 606 W 11th Ave, Covington, LA 70433
Phone: 985-892-3766    Fax: 985-893-9567
Dr. Michael W Carpenter, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 606 W 11th Ave, Covington, LA 70433
Phone: 985-892-3766    Fax: 985-893-9567
Dr. Thomas E Lavin, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 7015 Hwy 190 E Serv Rd, Suite 200, Covington, LA 70433
Phone: 985-234-3000    Fax: 985-234-3002
Mark Gregory Jones, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 606 W 11th Ave, Covington, LA 70433
Phone: 985-892-3766    Fax: 985-893-9567
Marie Celeste Lagarde, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 110 Lakeview Dr, Suite 200, Covington, LA 70433
Phone: 985-898-0589    
Dr. Ali Khoobehi, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 101 Judge Tanner Blvd Ste 300, Covington, LA 70433
Phone: 985-867-2100    Fax: 985-971-1548

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.