Donato J Borrillo, MD is a medicare enrolled "Preventive Medicine - Aerospace Medicine" physician in Mount Pleasant, South Carolina. His current practice location is
615 Johnnie Dodds Blvd Ste 102, Mount Pleasant, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 936-6451.
Donato J Borrillo is licensed to practice in Ohio (license number 35062153) 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 1104822170.
Physician's Profile
| Full Name | Donato J Borrillo |
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| Gender | Male |
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| Speciality | Preventive Medicine - Aerospace Medicine |
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| Location | 615 Johnnie Dodds Blvd Ste 102, Mount Pleasant, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104822170
- Provider Enumeration Date: 06/24/2005
- Last Update Date: 07/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 8628158870
- Enrollment ID: I20071231000354
Medical Identifiers
Medical identifiers for Donato J Borrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104822170 | NPI | - | NPPES |
| 000000212144 | Other | OH | ANTHEM COMMERICAL |
| 840000277 | Other | OH | OHIO RAILROAD MEDICARE |
| 000000212144 | Other | OH | ANTHEM MEDICAID |
| 0847454 | Other | MI | MI MEDICAID |
| 0847454 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 40559 (South Carolina) | Secondary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | 35062153 (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. Donato J Borrillo allows following entities to bill medicare on his behalf.
| Entity Name | Cristo Rey Community Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407800931
PECOS PAC ID: 2365345576
Enrollment ID: O20040830000021 |
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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. Donato J Borrillo 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 |
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Donato J Borrillo, MD
11100 Airport Hwy,
Swanton, OH 43558-9374
Ph: (419) 466-5512 | Donato J Borrillo, MD
615 Johnnie Dodds Blvd Ste 102,
Mount Pleasant, SC 29464-3082
Ph: (843) 936-6451 |
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