Dr Albert A Depolo Jr, DO is a medicare enrolled "Urology" physician in Grayling, Michigan. His current practice location is
809 E. Michigan Ave., Grayling, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 348-6610.
Dr Albert A Depolo Jr is licensed to practice in Michigan (license number 5101007832) 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 1487618575.
Physician's Profile
| Full Name | Dr Albert A Depolo Jr |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 809 E. Michigan Ave., Grayling, Michigan |
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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: 1487618575
- Provider Enumeration Date: 04/14/2006
- Last Update Date: 02/11/2016
Medicare PECOS Information:
- PECOS PAC ID: 5496744294
- Enrollment ID: I20100809000056
Medical Identifiers
Medical identifiers for Dr Albert A Depolo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487618575 | NPI | - | NPPES |
| 111768805 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 5101007832 (Michigan) | 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. Dr Albert A Depolo Jr allows following entities to bill medicare on his behalf.
| Entity Name | Michigan Healthcare Professionals Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295023547
PECOS PAC ID: 0345413258
Enrollment ID: O20111109000027 |
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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. Dr Albert A Depolo Jr 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 |
|---|
Dr Albert A Depolo Jr, DO
809 E. Michigan Ave.,
Grayling, MI 49738
Ph: (989) 348-6610 | Dr Albert A Depolo Jr, DO
809 E. Michigan Ave.,
Grayling, MI 49738
Ph: (989) 348-6610 |
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