Jeremiah Bacalso Ducusin, PA-C in Clinton Township, MI - Medicare Physician Assistant

Jeremiah Bacalso Ducusin, PA-C is a medicare enrolled "Physician Assistant - Medical" in Clinton Township, Michigan. His current practice location is 15855 19 Mile Rd, Clinton Township, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 263-2300.

Jeremiah Bacalso Ducusin is licensed to practice in * (Not Available) (license number ) 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 1164173001.

Contact Information

	Jeremiah Bacalso Ducusin, PA-C
	15855 19 Mile Rd, Clinton Township, MI 48038-3504
	(586) 263-2300
	Not Available

Provider's Profile

Full Name	Jeremiah Bacalso Ducusin
Gender	Male
Speciality	Physician Assistant - Medical
Location	15855 19 Mile Rd, Clinton Township, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164173001
Provider Enumeration Date: 01/12/2022
Last Update Date: 01/12/2022

Medicare PECOS Information:

PECOS PAC ID: 8628462041
Enrollment ID: I20220301002451

Medical Identifiers

Medical identifiers for Jeremiah Bacalso Ducusin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164173001	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	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. Jeremiah Bacalso Ducusin 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
Jeremiah Bacalso Ducusin, PA-C 50083 Margaret Ave, Macomb, MI 48044-6340 Ph: (586) 412-0838	Jeremiah Bacalso Ducusin, PA-C 15855 19 Mile Rd, Clinton Township, MI 48038-3504 Ph: (586) 263-2300

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Physician Assistant Nurses in Clinton Township, MI

Ms. Kara Nicole Szczomak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589
Christine Kucyk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15717 15 Mile Rd, Clinton Township, MI 48035 Phone: 586-263-2980 Fax: 586-263-2825
Alan Scott Wilson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 34025 Harper Ave, Clinton Township, MI 48035 Phone: 586-445-9900
Andrew Anthony Hakim, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2601 Fax: 586-263-2589
Kelly A Schweiger, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15855 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-2300
Kay Mcknight, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 37150 S Gratiot Ave, Clinton Township, MI 48036 Phone: 586-267-1335 Fax: 586-267-1334
Alexis Salinas, Physician Assistant Medicare: Medicare Enrolled Practice Location: 34025 Harper Ave, Clinton Township, MI 48035 Phone: 586-445-9900

Jeremiah Bacalso Ducusin, PA-C - Medicare Physician Assistant in Clinton Township, MI