Dr Michael K Donnelly, DO is a medicare enrolled "Emergency Medicine" physician in Neillsville, Wisconsin. His current practice location is
N3708 River Ave, Neillsville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 743-3101.
Dr Michael K Donnelly is licensed to practice in Wisconsin (license number 71291-21) 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 1477789105.
Physician's Profile
Full Name | Dr Michael K Donnelly |
---|
Gender | Male |
---|
Speciality | Emergency Medicine |
---|
Location | N3708 River Ave, Neillsville, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477789105
- Provider Enumeration Date: 06/09/2009
- Last Update Date: 02/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062659980
- Enrollment ID: I20180219000587
Medical Identifiers
Medical identifiers for Dr Michael K Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477789105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 71291-21 (Wisconsin) | 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 Michael K Donnelly allows following entities to bill medicare on his behalf.
Entity Name | Memorial Hospital, Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1831150119 PECOS PAC ID: 4486616141 Enrollment ID: O20041103001183 |
---|
Entity Name | Southeastern Emergency Physicians Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
---|
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 Michael K Donnelly 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 Michael K Donnelly, DO N3708 River Ave, Neillsville, WI 54456-7218 Ph: (715) 743-3101 | Dr Michael K Donnelly, DO N3708 River Ave, Neillsville, WI 54456-7218 Ph: (715) 743-3101 |
Reviews and Comments