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Jeffrey Ronald Buterbaugh

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

11675 Jollyville Rd Ste 207, Austin, TX 78759-4105

PECOS Enrollment

This provider is enrolled in PECOS as JEFFREY BUTERBAUGH.

Based on the most recent information from CMS, provider Jeffrey Ronald Buterbaugh is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1326294216
Provider Type
Individual
Full Name
Buterbaugh, Jeffrey Ronald
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
8/12/2008
Last Updated
5/22/2024

Contact Information

Practice Location

11675 Jollyville Rd Ste 207, Austin, TX 78759-4105

(512) 856-1000

(512) 856-4040

Mailing Location

11675 Jollyville Rd Ste 207, Austin, TX 78759-4105

(512) 856-1000

(512) 856-4040

Provider Taxonomies

Code	Description	License
Code 363AS0400X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA14516 Texas
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA14516 Texas
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License C0003804 Maryland

Jeffrey Ronald Buterbaugh

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

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