Mr Jac A Clement, PA-C - Medicare Physician Assistant in Oconto, WI

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Mr Jac A Clement, PA-C is a medicare enrolled "Physician Assistant" in Oconto, Wisconsin. His current practice location is 820 Arbutus Ave, Oconto, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 835-1100.

Mr Jac A Clement is licensed to practice in Wisconsin (license number 603-023) 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 1649289778.

Contact Information

Mr Jac A Clement, PA-C
820 Arbutus Ave,
Oconto, WI 54153-2004
(920) 835-1100
(920) 835-1099

Map and Direction




Provider's Profile

Full NameMr Jac A Clement
GenderMale
SpecialityPhysician Assistant
Location820 Arbutus Ave, Oconto, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649289778
  • Provider Enumeration Date: 08/07/2006
  • Last Update Date: 11/18/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8729055157
  • Enrollment ID: I20040914001142

Medical Identifiers

Medical identifiers for Mr Jac A Clement such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649289778NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 603-023 (Wisconsin)Primary
363A00000XPhysician Assistant 085-001577 (Illinois)Secondary

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. Mr Jac A Clement allows following entities to bill medicare on his behalf.
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089
Entity NameGreen Bay Emergency Medicine Services SC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366424111
PECOS PAC ID: 9335170083
Enrollment ID: O20050823000663

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. Mr Jac A Clement 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 AddressPractice 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

Reviews and Comments


Physician Assistant Nurses in Oconto, WI

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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.