Jonathan G Sabourin, DPM is a medicare enrolled "Podiatrist" provider in Middletown, Rhode Island. He went to Kent State University College Of Podiatric Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Podiatry. His current practice location is
850 Aquidneck Ave Ste 15, Middletown, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 849-2157.
Jonathan G Sabourin is licensed to practice in Rhode Island (license number DPM00316) 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 1306809603.
Healthcare Provider's Profile
| Full Name | Jonathan G Sabourin |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 23 Years |
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| Location | 850 Aquidneck Ave Ste 15, Middletown, Rhode Island |
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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 G Sabourin attended and graduated from Kent State University College Of Podiatric Medicine in 2001
NPI Data:
- NPI Number: 1306809603
- Provider Enumeration Date: 04/08/2006
- Last Update Date: 06/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 0941270144
- Enrollment ID: I20040727000441
Medical Identifiers
Medical identifiers for Jonathan G Sabourin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306809603 | NPI | - | NPPES |
| 212867 | Other | RI | BLUE CROSS BLUE SHIELD |
| 7056541 | Medicaid | RI | |
| 411583 | Other | RI | BLUE CHIP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DPM00316 (Rhode Island) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 2210 (Massachusetts) | Secondary |
| 213E00000X | Podiatrist | DPM00316 (Rhode Island) | Primary |
Medical Facilities Affiliation
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 G Sabourin allows following entities to bill medicare on his behalf.
| Provider Name | Coastal Foot & Ankle Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275052755
PECOS PAC ID: 0143586883
Enrollment ID: O20171206002480 |
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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 G Sabourin 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 G Sabourin, DPM
850 Aquidneck Ave Ste 15,
Middletown, RI 02842-7280
Ph: (401) 849-2157 | Jonathan G Sabourin, DPM
850 Aquidneck Ave Ste 15,
Middletown, RI 02842-7280
Ph: (401) 849-2157 |
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