Jonathon Michael Gutzeit, is a medicare enrolled "Hospitalist" physician in Neenah, Wisconsin. His current practice location is
130 2nd St, Neenah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 696-7900.
Jonathon Michael Gutzeit is licensed to practice in Wisconsin (license number 72242) 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 1154828812.
Physician's Profile
| Full Name | Jonathon Michael Gutzeit |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 130 2nd St, Neenah, Wisconsin |
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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: 1154828812
- Provider Enumeration Date: 04/10/2018
- Last Update Date: 08/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224467113
- Enrollment ID: I20210401000019
Medical Identifiers
Medical identifiers for Jonathon Michael Gutzeit such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154828812 | NPI | - | NPPES |
| 1154828812 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 72242 (Wisconsin) | 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. Jonathon Michael Gutzeit allows following entities to bill medicare on his behalf.
| Entity Name | Thedacare, Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088 |
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| Entity Name | The Medical College of Wisconsin Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259 |
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| Entity Name | Ascension Ne Wisconsin, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407803638
PECOS PAC ID: 7719897784
Enrollment ID: O20061027000037 |
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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. Jonathon Michael Gutzeit 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 |
|---|
Jonathon Michael Gutzeit,
130 2nd St,
Neenah, WI 54956-2883
Ph: (920) 696-7900 | Jonathon Michael Gutzeit,
130 2nd St,
Neenah, WI 54956-2883
Ph: (920) 696-7900 |
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