Jason Norbert Suppan, DPM is a medicare enrolled "Podiatrist" provider in Orrville, Ohio. He went to Kent State University College Of Podiatric Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Podiatry. His current practice location is
1710 Paradise Rd, Orrville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 682-6070.
Jason Norbert Suppan is licensed to practice in Ohio (license number 36-00-3017-S) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528059391.
Healthcare Provider's Profile
Full Name | Jason Norbert Suppan |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 29 Years |
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Location | 1710 Paradise Rd, Orrville, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jason Norbert Suppan attended and graduated from Kent State University College Of Podiatric Medicine in 1995
NPI Data:
- NPI Number: 1528059391
- Provider Enumeration Date: 11/02/2005
- Last Update Date: 08/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 0446232201
- Enrollment ID: I20100602000211
Medical Identifiers
Medical identifiers for Jason Norbert Suppan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528059391 | NPI | - | NPPES |
1528059391 | Other | OH | NPI |
2012842 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 36-00-3017-S (Ohio) | Secondary |
213E00000X | Podiatrist | 36-00-3017-S (Ohio) | 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. Jason Norbert Suppan allows following entities to bill medicare on his behalf.
Provider Name | Suppan Foot And Ankle Clinic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1669428991 PECOS PAC ID: 6305828153 Enrollment ID: O20040604000265 |
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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. Jason Norbert Suppan 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 |
Jason Norbert Suppan, DPM 6200 Pleasant Ave Ste 3, Fairfield, OH 45014-4671 Ph: (330) 682-6070 | Jason Norbert Suppan, DPM 1710 Paradise Rd, Orrville, OH 44667-9418 Ph: (330) 682-6070 |
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