Paul Lawrence Bissmeyer Jr, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Orange Park, Florida. His current practice location is
2001 Kingsley Ave, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 639-2000.
Paul Lawrence Bissmeyer Jr is licensed to practice in * (Not Available) (license number ) 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 1790362796.
Physician's Profile
Full Name | Paul Lawrence Bissmeyer Jr |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2001 Kingsley Ave, Orange Park, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790362796
- Provider Enumeration Date: 03/25/2021
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517329774
- Enrollment ID: I20230821000526
Medical Identifiers
Medical identifiers for Paul Lawrence Bissmeyer Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790362796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 94960 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Paul Lawrence Bissmeyer Jr allows following entities to bill medicare on his behalf.
Entity Name | Acs Primary Care Physicians - Southeast Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
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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. Paul Lawrence Bissmeyer Jr 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 Address | Practice Location Address |
Paul Lawrence Bissmeyer Jr, 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: () - | Paul Lawrence Bissmeyer Jr, 2001 Kingsley Ave, Orange Park, FL 32073-5148 Ph: (904) 639-2000 |
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