Jeremy Clifton Cuzzourt, MD is a medicare enrolled "Otolaryngology" physician in Proctorville, Ohio. He went to Mercer University School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Holzer Clinic Llc, Holzer Clinic Llc and his current practice location is
98 State St, Proctorville, Ohio. You can reach out to his office (for appointments etc.) via phone at
(855) 446-5937.
Jeremy Clifton Cuzzourt is licensed to practice in Ohio (license number 35.125222) 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 1013948694.
Physician's Profile
| Full Name | Jeremy Clifton Cuzzourt |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 23 Years |
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| Location | 98 State St, Proctorville, Ohio |
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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:
- Jeremy Clifton Cuzzourt attended and graduated from Mercer University School Of Medicine in 2001
NPI Data:
- NPI Number: 1013948694
- Provider Enumeration Date: 07/05/2006
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153334487
- Enrollment ID: I20060803000034
Medical Identifiers
Medical identifiers for Jeremy Clifton Cuzzourt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013948694 | NPI | - | NPPES |
| P00324289 | Other | | RAILROAD MEDICARE |
| 2667234 | Medicaid | OH | |
| 3810005553 | Medicaid | WV | |
| 64127202 | Medicaid | KY | |
| 1519145 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 46380 (Tennessee) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 22299 (West Virginia) | Secondary |
| 207Y00000X | Otolaryngology | 35.125222 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Holzer Clinic Llc | 5890606008 | 264 |
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. Jeremy Clifton Cuzzourt allows following entities to bill medicare on his behalf.
| Entity Name | Holzer Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508817248
PECOS PAC ID: 5890606008
Enrollment ID: O20040517000510 |
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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. Jeremy Clifton Cuzzourt 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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Jeremy Clifton Cuzzourt, MD
90 Jackson Pike,
Gallipolis, OH 45631-1560
Ph: (740) 886-9370 | Jeremy Clifton Cuzzourt, MD
98 State St,
Proctorville, OH 45669-8163
Ph: (855) 446-5937 |
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