Jon-paul Cloutier, PA-C is a medicare enrolled "Physician Assistant" in Mt Pleasant, Wisconsin. His current practice location is
3821 Spring St, Mt Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 687-4011.
Jon-paul Cloutier is licensed to practice in Arizona (license number 8856) 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 1912303496.
Provider's Profile
| Full Name | Jon-paul Cloutier |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 3821 Spring St, Mt Pleasant, 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: 1912303496
- Provider Enumeration Date: 11/11/2014
- Last Update Date: 02/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496070161
- Enrollment ID: I20220309001425
Medical Identifiers
Medical identifiers for Jon-paul Cloutier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912303496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 3452 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 8856 (Arizona) | 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. Jon-paul Cloutier allows following entities to bill medicare on his behalf.
| Entity Name | Emergency Group of Arizona Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215275433
PECOS PAC ID: 1355596644
Enrollment ID: O20130313000442 |
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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. Jon-paul Cloutier 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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Jon-paul Cloutier, PA-C
1431 Centerpoint Blvd, Ste 100,
Knoxville, TN 37932-1984
Ph: Not Available | Jon-paul Cloutier, PA-C
3821 Spring St,
Mt Pleasant, WI 53405-1667
Ph: (262) 687-4011 |
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