Jonathan H Wynbrandt, MD is a medicare enrolled "Internal Medicine" physician in Maple Heights, Ohio. His current practice location is
5264 Lee Rd, Maple Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(305) 628-6117.
Jonathan H Wynbrandt is licensed to practice in Ohio (license number 35088389) 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 1891807012.
Physician's Profile
| Full Name | Jonathan H Wynbrandt |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 5264 Lee Rd, Maple Heights, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1891807012
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 05/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 9032117718
- Enrollment ID: I20061113000043
Medical Identifiers
Medical identifiers for Jonathan H Wynbrandt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891807012 | NPI | - | NPPES |
| 2683510 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 35088389 (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. Jonathan H Wynbrandt allows following entities to bill medicare on his behalf.
| Entity Name | Community Hospitalist Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538236872
PECOS PAC ID: 5496648123
Enrollment ID: O20040205000697 |
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| Entity Name | University Hospitals Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301 |
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| Entity Name | Hni Medical Services Of Ohio, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356815922
PECOS PAC ID: 1759620735
Enrollment ID: O20190308002704 |
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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. Jonathan H Wynbrandt 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 |
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Jonathan H Wynbrandt, MD
1395 Nw 167th St,
Miami Gardens, FL 33169-5710
Ph: () - | Jonathan H Wynbrandt, MD
5264 Lee Rd,
Maple Heights, OH 44137-1232
Ph: (305) 628-6117 |
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