Oto Prokop, MD - Medicare Internal Medicine in Skowhegan, ME

Oto Prokop, MD is a medicare enrolled "Internal Medicine" physician in Skowhegan, Maine. His current practice location is 46 Fairview Ave Ste 111, Skowhegan, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 474-0905.

Oto Prokop is licensed to practice in Maine (license number MD15742) 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 1083631014.

Contact Information

Oto Prokop, MD
46 Fairview Ave Ste 111,
Skowhegan, ME 04976-1481
(207) 474-0905
(207) 474-6930

Map and Direction




Physician's Profile

Full NameOto Prokop
GenderMale
SpecialityInternal Medicine
Location46 Fairview Ave Ste 111, Skowhegan, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083631014
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 07/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052308426
  • Enrollment ID: I20040428000128

Medical Identifiers

Medical identifiers for Oto Prokop such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083631014NPI-NPPES
1083631014MedicaidME

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD15742 (Maine)Primary

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. Oto Prokop allows following entities to bill medicare on his behalf.
Entity NameRedington-fairview General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174549133
PECOS PAC ID: 9133018740
Enrollment ID: O20040312000119

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. Oto Prokop 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
Oto Prokop, MD
Po Box 468,
Skowhegan, ME 04976-0468

Ph: (207) 474-0905
Oto Prokop, MD
46 Fairview Ave Ste 111,
Skowhegan, ME 04976-1481

Ph: (207) 474-0905

Reviews and Comments


Internal Medicine Doctors in Skowhegan, ME

Donna Conkling, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 46 Fairview Ave, Suite 111, Skowhegan, ME 04976
Phone: 207-474-0905    Fax: 207-474-6930
Dr. Michael J Monzel, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 46 Fairview Ave Ste 221, Skowhegan, ME 04976
Phone: 207-474-6945    Fax: 207-474-6933
Dr. Paraschos Archontakis Barakakis, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 46 Fairview Ave, Skowhegan, ME 04976
Phone: 207-474-5121    Fax: 207-858-2415
Daniel Stevenson Stadler, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 23 Cedar Ridge Dr, Skowhegan, ME 04976
Phone: 207-474-9686    
Dr. Rajdeep Brar, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 46 Fairview Ave, Skowhegan, ME 04976
Phone: 207-474-5121    
Dr. David N Abisalih, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 61 Fairview Ave, Skowhegan, ME 04976
Phone: 207-858-8121    Fax: 207-474-3648

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.