Jonathan Edward Vichosky, is a medicare enrolled "Physician Assistant - Medical" in Silver Lake, Ohio. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Summa Physicians Llc and his current practice location is
2815 Hastings Rd, Silver Lake, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 812-9639.
Jonathan Edward Vichosky is licensed to practice in Ohio (license number 50.007462RX) 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 1023695202.
Provider's Profile
| Full Name | Jonathan Edward Vichosky |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 2815 Hastings Rd, Silver Lake, 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. |
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Medical Education and Training:
- Jonathan Edward Vichosky graduated from nursing school in 2021
NPI Data:
- NPI Number: 1023695202
- Provider Enumeration Date: 03/25/2021
- Last Update Date: 06/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113306069
- Enrollment ID: I20220623000373
Medical Identifiers
Medical identifiers for Jonathan Edward Vichosky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023695202 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 50.007462RX (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Summa Physicians Llc | 2961303532 | 692 |
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 Edward Vichosky allows following entities to bill medicare on his behalf.
| Entity Name | Summa Physicians LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235167719
PECOS PAC ID: 2961303532
Enrollment ID: O20040116000295 |
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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 Edward Vichosky 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 Edward Vichosky,
2815 Hastings Rd,
Silver Lake, OH 44224-3703
Ph: (440) 812-9639 | Jonathan Edward Vichosky,
2815 Hastings Rd,
Silver Lake, OH 44224-3703
Ph: (440) 812-9639 |
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