Jonathan James Gisclair, DPM is a medicare enrolled "Podiatrist" provider in Cut Off, Louisiana. His current practice location is
16148 West Main Street, Cut Off, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(985) 325-3668.
Jonathan James Gisclair is licensed to practice in Louisiana (license number PD0110) 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 1922020775.
Healthcare Provider's Profile
| Full Name | Jonathan James Gisclair |
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| Gender | Male |
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| Speciality | Podiatrist |
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| Location | 16148 West Main Street, Cut Off, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922020775
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 01/15/2009
Medicare PECOS Information:
- PECOS PAC ID: 0345261103
- Enrollment ID: I20051208000789
Medical Identifiers
Medical identifiers for Jonathan James Gisclair such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1922020775 | NPI | - | NPPES |
| 1131211 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | PD0110 (Louisiana) | Primary |
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 James Gisclair allows following entities to bill medicare on his behalf.
| Provider Name | Louisiana State University School Of Medicine In New Orleans Faculty G |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661 |
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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 James Gisclair 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 |
Jonathan James Gisclair, DPM Po Box 1759, Department 952, Houston, TX 77251-1759 Ph: (713) 554-5304 | Jonathan James Gisclair, DPM 16148 West Main Street, Cut Off, LA 70345 Ph: (985) 325-3668 |
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