Dr Jason G De Vries, DPM - Medicare Podiatrist in Manitowoc, WI

Dr Jason G De Vries, DPM is a medicare enrolled "Podiatrist" provider in Manitowoc, Wisconsin. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Baycare Clinic Llp and his current practice location is 1111 Bayshore Dr, Manitowoc, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 682-6376.

Dr Jason G De Vries is licensed to practice in Wisconsin (license number 940) 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 1609028422.

Contact Information

Dr Jason G De Vries, DPM
1111 Bayshore Dr,
Manitowoc, WI 54220-5548
(920) 682-6376
(920) 652-0115



Healthcare Provider's Profile

Full NameDr Jason G De Vries
GenderMale
SpecialityPodiatry
Experience18 Years
Location1111 Bayshore Dr, Manitowoc, Wisconsin
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:
  • Dr Jason G De Vries graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1609028422
  • Provider Enumeration Date: 10/13/2008
  • Last Update Date: 04/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8628120706
  • Enrollment ID: I20101208000756

Medical Identifiers

Medical identifiers for Dr Jason G De Vries such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609028422NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 940-025 (Wisconsin)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery 940-25 (Wisconsin)Secondary
213E00000XPodiatrist 940 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Medical Ctr Manitowoc CountyTwo rivers, WIHospital
Aurora Baycare Medical CtrGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baycare Clinic Llp4385554328185

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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 Jason G De Vries allows following entities to bill medicare on his behalf.
Provider NameBaycare Clinic Llp
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588609648
PECOS PAC ID: 4385554328
Enrollment ID: O20031105000087

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Provider NameAscension Calumet Hospital Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1376541748
PECOS PAC ID: 7416948427
Enrollment ID: O20040809000191

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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 Jason G De Vries 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
Dr Jason G De Vries, DPM
1035 Kepler Dr,
Green Bay, WI 54311-8320

Ph: (920) 490-9046
Dr Jason G De Vries, DPM
1111 Bayshore Dr,
Manitowoc, WI 54220-5548

Ph: (920) 682-6376

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Podiatrist in Manitowoc, WI

Jonathan A Snellgrove, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1650 S 41st St, Manitowoc, WI 54220
Phone: 920-320-5251    Fax: 920-682-2006

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