Mr Jon Braden Debault, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Hewitt, Texas. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Comprehensive Injury Treatment Services Pllc and his current practice location is
8836 Mars Dr, Hewitt, Texas. You can reach out to his office (for appointments etc.) via phone at
(254) 420-5500.
Mr Jon Braden Debault is licensed to practice in Texas (license number 1016837) 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 1225636996.
Provider's Profile
| Full Name | Mr Jon Braden Debault |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 8836 Mars Dr, Hewitt, Texas |
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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:
- Mr Jon Braden Debault graduated from nursing school in 2019
NPI Data:
- NPI Number: 1225636996
- Provider Enumeration Date: 10/14/2020
- Last Update Date: 10/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 5294145397
- Enrollment ID: I20201030001271
Medical Identifiers
Medical identifiers for Mr Jon Braden Debault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225636996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 1016837 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Comprehensive Injury Treatment Services Pllc | 6406086032 | 12 |
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 Jon Braden Debault allows following entities to bill medicare on his behalf.
| Entity Name | Curana Health Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255640678
PECOS PAC ID: 9133304603
Enrollment ID: O20110427000111 |
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| Entity Name | Comprehensive Injury Treatment Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811325954
PECOS PAC ID: 6406086032
Enrollment ID: O20140227001395 |
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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. Mr Jon Braden Debault 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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Mr Jon Braden Debault, APRN-CNP
2200 Legacy Ln Apt 925,
Belton, TX 76513-1840
Ph: (512) 429-8320 | Mr Jon Braden Debault, APRN-CNP
8836 Mars Dr,
Hewitt, TX 76643-3195
Ph: (254) 420-5500 |
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