Dr Jason Henry Przybylo, MD is a medicare enrolled "Neurological Surgery" physician in Mount Pleasant, Wisconsin. His current practice location is
3805b Spring St Ste 320, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 687-8322.
Dr Jason Henry Przybylo is licensed to practice in Wisconsin (license number 59907-20) 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 1083908677.
Physician's Profile
Full Name | Dr Jason Henry Przybylo |
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Gender | Male |
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Speciality | Neurological Surgery |
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Location | 3805b Spring St Ste 320, Mount Pleasant, Wisconsin |
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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: 1083908677
- Provider Enumeration Date: 06/01/2011
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507011285
- Enrollment ID: I20130302000013
Medical Identifiers
Medical identifiers for Dr Jason Henry Przybylo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083908677 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 59907-20 (Wisconsin) | 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. Dr Jason Henry Przybylo allows following entities to bill medicare on his behalf.
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
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Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
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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. Dr Jason Henry Przybylo 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 |
Dr Jason Henry Przybylo, MD 3805b Spring St Ste 320, Mount Pleasant, WI 53405-1644 Ph: (262) 687-8322 | Dr Jason Henry Przybylo, MD 3805b Spring St Ste 320, Mount Pleasant, WI 53405-1644 Ph: (262) 687-8322 |
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