Mr Jonathan Marc Ison, PA-C is a medicare enrolled "Physician Assistant" physician in New York, New York. His current practice location is
1111 Amsterdam Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 636-3375.
Mr Jonathan Marc Ison is licensed to practice in New York (license number 021777-1) 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 1801395801.
Physician's Profile
Full Name | Mr Jonathan Marc Ison |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1111 Amsterdam Ave, New York, New York |
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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: 1801395801
- Provider Enumeration Date: 02/05/2018
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789048463
- Enrollment ID: I20230913003594
Medical Identifiers
Medical identifiers for Mr Jonathan Marc Ison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801395801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 021777-1 (New York) | Secondary |
363A00000X | Physician Assistant | 021777-1 (New York) | Primary |
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. Mr Jonathan Marc Ison 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 |
Mr Jonathan Marc Ison, PA-C 1 Pine St, Lake Grove, NY 11755-2721 Ph: (631) 574-7466 | Mr Jonathan Marc Ison, PA-C 1111 Amsterdam Ave, New York, NY 10025-1716 Ph: (212) 636-3375 |
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