Philip James O'reilly, MD - Medicare Pulmonary Disease in Birmingham, AL

Philip James O'reilly, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Birmingham, Alabama. He graduated from medical school in 1992 and has 25 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice University Of Alabama Health Services Foundation and his current practice location is 619 19th Street South, Birmingham, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 934-6600.

Philip James O'reilly is licensed to practice in Alabama (license number 21754) 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 1245263466.

Contact Information

619 19th Street South
Birmingham
AL 35233
(205) 934-6600
Not Available

Map and Direction


Physician's Profile

Full NamePhilip James O'reilly
GenderMale
SpecialityPulmonary Disease
Experience25 Years
LocationBirmingham, Alabama
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:
  • Philip James O'reilly graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1245263466
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 09/08/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5395919351
  • Enrollment ID: I20111201000237

Medical Identifiers

Medical identifiers for Philip James O'reilly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245263466NPI-NPPES
04925233OtherMSMISSISSIPPI MEDICAID
051551812Medicare ID-Type UnspecifiedAL
051551812MedicaidAL
051510483OtherALBLUE CROSS
290014672OtherALRAILROAD MEDICARE
051510482OtherALBLUE CROSS
009992760MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 21754 (Alabama)Active

Hospital Affiliation

Hospital NameLocationType
University Of Alabama HospitalBirmingham, ALAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Alabama Health Services Foundation19512131071295

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 James O'reilly allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Alabama Health Services Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261

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 James O'reilly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Medicare Quality Measures

Quality ProgramParticipation
Reported to Medicare Physician Quality Reporting System (PQRS) Yes
Used Electronic Health Record (EHR) No
Participated in the Medicare Maintenance of Certification Program No
Committed to heart health through the Million Hearts Initiative Yes

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Philip James O'reilly, MD
Po Box 55310
Birmingham
AL 35255-5310

Ph: (205) 731-9701
Philip James O'reilly, MD
619 19th Street South
Birmingham
AL 35233

Ph: (205) 934-6600

Reviews and Comments

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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).

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