Jonathan M Mongold, DO - Medicare Family Practice in Lafayette, IN

Jonathan M Mongold, DO is a medicare enrolled "Family Medicine" physician in Lafayette, Indiana. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Arnett Clinic Llc and his current practice location is 5177 Mccarty Ln, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 448-8000.

Jonathan M Mongold is licensed to practice in Indiana (license number 02005180A) 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 1205179553.

Contact Information

Jonathan M Mongold, DO
5177 Mccarty Ln,
Lafayette, IN 47905-8764
(765) 448-8000
Not Available

Map and Direction




Physician's Profile

Full NameJonathan M Mongold
GenderMale
SpecialityFamily Practice
Experience11 Years
Location5177 Mccarty Ln, Lafayette, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jonathan M Mongold graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1205179553
  • Provider Enumeration Date: 04/04/2013
  • Last Update Date: 01/27/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2466754718
  • Enrollment ID: I20170830000402

Medical Identifiers

Medical identifiers for Jonathan M Mongold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205179553NPI-NPPES
300005550MedicaidIN
000001116759OtherINANTHEM FAMILY MED PIN
000001106441OtherINANTHEM SPORTS MED PIN
000001117320OtherINANTHEM URGENT CARE PIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 02005180A (Indiana)Secondary
207QS0010XFamily Medicine - Sports Medicine 02005180A (Indiana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 02005180A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Arnett HospitalLafayette, INHospital
Indiana University Health White Memorial HospitalMonticello, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arnett Clinic Llc0749184380382

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 M Mongold allows following entities to bill medicare on his behalf.
Entity NameArnett Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164490843
PECOS PAC ID: 0749184380
Enrollment ID: O20031125000119

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 M Mongold 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 AddressPractice Location Address
Jonathan M Mongold, DO
1200 W White River Blvd # 4300,
Muncie, IN 47303-4988

Ph: (877) 668-5621
Jonathan M Mongold, DO
5177 Mccarty Ln,
Lafayette, IN 47905-8764

Ph: (765) 448-8000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.