Dr Michael Prochaska, MD - Medicare Diagnostic Radiology in Salt Lake City, UT

Dr Michael Prochaska, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Salt Lake City, Utah. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2011 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Lawrence Clinical Laboratory Chartered and his current practice location is 2000 Circle Of Hope Dr, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 587-4357.

Dr Michael Prochaska is licensed to practice in Utah (license number 9404572-1205) 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 1609249101.

Contact Information

Dr Michael Prochaska, MD
2000 Circle Of Hope Dr,
Salt Lake City, UT 84112-5550
(801) 587-4357
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Prochaska
GenderMale
SpecialityDiagnostic Radiology
Experience13 Years
Location2000 Circle Of Hope Dr, Salt Lake City, Utah
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 Michael Prochaska attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2011
  NPI Data:
  • NPI Number: 1609249101
  • Provider Enumeration Date: 11/05/2015
  • Last Update Date: 05/06/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8426352485
  • Enrollment ID: I20210201001582

Medical Identifiers

Medical identifiers for Dr Michael Prochaska such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609249101NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 9404572-1205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lawrence Memorial HospitalLawrence, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lawrence Clinical Laboratory Chartered50927004433

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 Prochaska allows following entities to bill medicare on his behalf.
Entity NameLawrence Clinical Laboratory Chartered
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417928433
PECOS PAC ID: 5092700443
Enrollment ID: O20040416000225

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 Prochaska 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 Michael Prochaska, MD
2000 Circle Of Hope Dr,
Salt Lake City, UT 84112-5550

Ph: (801) 587-4357
Dr Michael Prochaska, MD
2000 Circle Of Hope Dr,
Salt Lake City, UT 84112-5550

Ph: (801) 587-4357

Reviews and Comments


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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.

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