| Mr Jac A Clement, PA-C | |
|
820 Arbutus Ave, Oconto, WI 54153-2004 | |
| (920) 835-1100 | |
| (920) 835-1099 |
| Full Name | Mr Jac A Clement |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 820 Arbutus Ave, Oconto, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649289778 | NPI | - | NPPES |
| 42940500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 603-023 (Wisconsin) | Primary |
| 363A00000X | Physician Assistant | 085-001577 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jac A Clement, PA-C Po Box 1866, Green Bay, WI 54305-1866 Ph: (920) 445-7210 | Mr Jac A Clement, PA-C 820 Arbutus Ave, Oconto, WI 54153-2004 Ph: (920) 835-1100 |
Ryan Patrick Macdonald, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 | |
Amanda K Westmoreland, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 820 Arbutus Ave, Oconto, WI 54153 Phone: 920-835-1100 Fax: 920-835-1099 |