JEREMY HOUTAKKER, P.A.

Surgical Physician Assistant · CRYSTAL LAKE, IL

Individual Active NPI 1902092109

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241219$146,926$2,092$1,687
20233043$336,095$5,114$4,112
20223858$175,961$5,606$4,496

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400XIL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Surgical Physician Assistant providers in Illinois

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.