| Mr Justin L Northcutt, PA-C | |
|
8 Doctors Park Rd, Mount Vernon, IL 62864-6224 | |
| (618) 244-5500 | |
| Not Available |
| Full Name | Mr Justin L Northcutt |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 8 Doctors Park Rd, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194351668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085007547 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Jefferson | Festus, MO | Hospital |
| Ssm Health Rehabilitation Hospital | Richmond heights, MO | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Signature Medical Group Inc | 4880598291 | 40 |
| Entity Name | Signature Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871542761 PECOS PAC ID: 4880598291 Enrollment ID: O20031204000173 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin L Northcutt, PA-C 12415 Somerset Place Dr Apt J, Saint Louis, MO 63128-2243 Ph: Not Available | Mr Justin L Northcutt, PA-C 8 Doctors Park Rd, Mount Vernon, IL 62864-6224 Ph: (618) 244-5500 |
Taylor Rapp, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864 Phone: 618-899-4000 |
Devin D Haertling, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 |
Dr. Ismat Cheema, DO Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-899-3607 |
Lauren Marie Pingsterhaus, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-899-4600 |
Ms. Cathy Diane Lisenby, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2 Good Samaritan Way, Mount Vernon, IL 62864 Phone: 618-899-4000 Fax: 618-899-4790 |
Mr. James Edward Keeler, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3307 Broadway St, Suite 140, Mount Vernon, IL 62864 Phone: 618-244-7200 |
Mr. Joey Alan Wegmann, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 302 Broadway St, Mount Vernon, IL 62864 Phone: 618-242-4750 Fax: 618-242-7674 |