Dr John Paul Detherage Iii, MD in Montgomery, OH

Dr John Paul Detherage Iii, MD is a medicare enrolled "Emergency Medicine" physician in Montgomery, Ohio. His current practice location is 10506 Montgomery Rd Ste 209, Montgomery, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 865-9040.

Dr John Paul Detherage Iii is licensed to practice in Ohio (license number 35150486) 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 1447833504.

Contact Information

	Dr John Paul Detherage Iii, MD
	10506 Montgomery Rd Ste 209, Montgomery, OH 45242-4400
	(513) 865-9040
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John Paul Detherage Iii
Gender	Male
Speciality	Emergency Medicine
Location	10506 Montgomery Rd Ste 209, Montgomery, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447833504
Provider Enumeration Date: 05/05/2021
Last Update Date: 06/30/2025

Medicare PECOS Information:

PECOS PAC ID: 1355792763
Enrollment ID: I20240828003117

Medical Identifiers

Medical identifiers for Dr John Paul Detherage Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447833504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PS0010X	Emergency Medicine - Sports Medicine	35150486 (Ohio)	Secondary
207P00000X	Emergency Medicine	35150486 (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 Paul Detherage Iii allows following entities to bill medicare on his behalf.

Entity Name	University Of Cincinnati Physicians Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123

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 Paul Detherage Iii 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 Paul Detherage Iii, MD 10506 Montgomery Rd Ste 209, Montgomery, OH 45242-4400 Ph: () -	Dr John Paul Detherage Iii, MD 10506 Montgomery Rd Ste 209, Montgomery, OH 45242-4400 Ph: (513) 865-9040

Reviews and Comments

Emergency Medicine Doctors in Montgomery, OH

Robert Sean Rae, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246
Zachary David Heppner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10506 Montgomery Rd Ste 209, Montgomery, OH 45242 Phone: 513-865-9040 Fax: 513-865-9046
Dr. Julian Macedo, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246
Margaret Bailey, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-1112
Dr. Jaclyn Harrington Jansen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 10506 Montgomery Rd Ste 209, Montgomery, OH 45242 Phone: 800-225-0953
James Heaton, PA-C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-1111

Dr John Paul Detherage Iii, MD - Medicare Emergency Medicine in Montgomery, OH