Philip H O'donnell, MD is a medicare enrolled "Ophthalmology" physician in Defiance, Ohio. His current practice location is
1490 Pinehurst Dr, Defiance, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 782-6588.
Philip H O'donnell is licensed to practice in Ohio (license number 35063310) 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 1538126123.
Physician's Profile
| Full Name | Philip H O'donnell |
|---|
| Gender | Male |
|---|
| Speciality | Ophthalmology |
|---|
| Location | 1490 Pinehurst Dr, Defiance, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1538126123
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375672280
- Enrollment ID: I20100602000127
Medical Identifiers
Medical identifiers for Philip H O'donnell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538126123 | NPI | - | NPPES |
| 0889409 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 35063310 (Ohio) | 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. Philip H O'donnell allows following entities to bill medicare on his behalf.
| Entity Name | Promedica Central Physicians |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1043270150
PECOS PAC ID: 2365348190
Enrollment ID: O20031211000226 |
|---|
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. Philip H O'donnell 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 |
|---|
Philip H O'donnell, MD
1490 Pinehurst Dr,
Defiance, OH 43512-8670
Ph: (419) 782-6588 | Philip H O'donnell, MD
1490 Pinehurst Dr,
Defiance, OH 43512-8670
Ph: (419) 782-6588 |
Reviews and Comments