Dr John Duffy Dewalt, DO is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Logan, Ohio. His current practice location is
144 East Main Street, Logan, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 385-1881.
Dr John Duffy Dewalt is licensed to practice in Ohio (license number 34002686D) 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 1508869702.
Physician's Profile
| Full Name | Dr John Duffy Dewalt |
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| Gender | Male |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 144 East Main Street, Logan, Ohio |
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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: 1508869702
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 01/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 2062475098
- Enrollment ID: I20241115004162
Medical Identifiers
Medical identifiers for Dr John Duffy Dewalt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508869702 | NPI | - | NPPES |
| 1269034 | Other | OH | BWC PROVIDER NUMBER |
| CD3781 | Other | OH | MEDICARE RAILROAD |
| 0365073 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 34002686D (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. Dr John Duffy Dewalt allows following entities to bill medicare on his behalf.
| Entity Name | Regional Employee Assistance Program Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649232984
PECOS PAC ID: 1557260064
Enrollment ID: O20040612000731 |
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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 John Duffy Dewalt 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 John Duffy Dewalt, DO
144 E Main St,
Logan, OH 43138
Ph: (740) 385-1881 | Dr John Duffy Dewalt, DO
144 East Main Street,
Logan, OH 43138
Ph: (740) 385-1881 |
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