Dr David Leroy Prothro, MD - Medicare Cardiovascular Disease (cardiology) in Sparks, NV

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Dr David Leroy Prothro, MD is a medicare enrolled "Internal Medicine - Clinical Cardiac Electrophysiology" physician in Sparks, Nevada. He went to University Of Washington School Of Medicine and graduated in 1986 and has 40 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice C And C Health Care Services Llc and his current practice location is 2385 E Prater Way, Ste 309, Sparks, Nevada. You can reach out to his office (for appointments etc.) via phone at (775) 322-4449.

Dr David Leroy Prothro is licensed to practice in Nebraska (license number 31985) 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 1942208426.

Contact Information

Dr David Leroy Prothro, MD
2385 E Prater Way, Ste 309,
Sparks, NV 89434-9629
(775) 322-4449
(775) 322-0723

Map and Direction




Physician's Profile

Full NameDr David Leroy Prothro
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience40 Years
Location2385 E Prater Way, Sparks, Nevada
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:
  • Dr David Leroy Prothro attended and graduated from University Of Washington School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1942208426
  • Provider Enumeration Date: 07/08/2005
  • Last Update Date: 10/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1254395171
  • Enrollment ID: I20050128000275

Medical Identifiers

Medical identifiers for Dr David Leroy Prothro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942208426NPI-NPPES
002016534MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0001XInternal Medicine - Clinical Cardiac Electrophysiology 31985 (Nebraska)Primary
207RC0000XInternal Medicine - Cardiovascular Disease 7123 (Nevada)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
C And C Health Care Services Llc29618304013

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 David Leroy Prothro allows following entities to bill medicare on his behalf.
Entity NameReno Sparks Indian Colony
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497700801
PECOS PAC ID: 6507761897
Enrollment ID: O20031201000208
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191002002008
Entity NameC & C Health Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417510439
PECOS PAC ID: 2961830401
Enrollment ID: O20200317001445
Entity NameC C Health Care Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740990787
PECOS PAC ID: 8527597822
Enrollment ID: O20250131001480

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 David Leroy Prothro 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
Dr David Leroy Prothro, MD
816 22nd Ave, Suite 100,
Kearney, NE 68845-2206

Ph: (308) 865-2263		Dr David Leroy Prothro, MD
2385 E Prater Way, Ste 309,
Sparks, NV 89434-9629

Ph: (775) 322-4449

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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