Dr Jonathan Wynstra, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Mayfield, Kentucky. He went to Medical College Of Wisconsin and graduated in 1989 and has 35 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Pinelake Physician Practice Llc and his current practice location is
1111 Medical Center Cir, Mayfield, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 251-4543.
Dr Jonathan Wynstra is licensed to practice in Kentucky (license number 31915) 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 1235132960.
Physician's Profile
| Full Name | Dr Jonathan Wynstra |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 35 Years |
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| Location | 1111 Medical Center Cir, Mayfield, Kentucky |
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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:
- Dr Jonathan Wynstra attended and graduated from Medical College Of Wisconsin in 1989
NPI Data:
- NPI Number: 1235132960
- Provider Enumeration Date: 05/26/2005
- Last Update Date: 10/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 5496778730
- Enrollment ID: I20060112000420
Medical Identifiers
Medical identifiers for Dr Jonathan Wynstra such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235132960 | NPI | - | NPPES |
| 64319155 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 31915 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pinelake Physician Practice Llc | 6800797507 | 34 |
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 Jonathan Wynstra allows following entities to bill medicare on his behalf.
| Entity Name | Pinelake Physician Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295960532
PECOS PAC ID: 6800797507
Enrollment ID: O20040115001094 |
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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 Jonathan Wynstra 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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Dr Jonathan Wynstra, MD
1111 Medical Center Cir,
Mayfield, KY 42066-1194
Ph: (270) 251-4543 | Dr Jonathan Wynstra, MD
1111 Medical Center Cir,
Mayfield, KY 42066-1194
Ph: (270) 251-4543 |
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