Dr Michael Louis Squire, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jones, Oklahoma. He went to Chicago College Of Medicine And Surgery and graduated in 2008 and has 16 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Tyson Schwab Short And Weiss Psc and his current practice location is
2624 Ridgeway Cir, Jones, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(630) 297-5302.
Dr Michael Louis Squire is licensed to practice in Washington (license number MD60461265) 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 1356592943.
Physician's Profile
| Full Name | Dr Michael Louis Squire |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 16 Years |
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| Location | 2624 Ridgeway Cir, Jones, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Louis Squire attended and graduated from Chicago College Of Medicine And Surgery in 2008
NPI Data:
- NPI Number: 1356592943
- Provider Enumeration Date: 10/01/2008
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870714819
- Enrollment ID: I20220815002707
Medical Identifiers
Medical identifiers for Dr Michael Louis Squire such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356592943 | NPI | - | NPPES |
| 0385157 | Other | WA | L&I-SOUTH SOUND RADIOLOGY |
| 0353469 | Other | WA | L&I-RADIA KING CTY |
| 2044272 | Medicaid | WA | |
| 0353470 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
| 0353472 | Other | WA | L&I-EVERGREEN RADIA |
| 1356592943 | Medicaid | ID | |
| 0353429 | Other | WA | L&I-RADIA REST OF WA |
| 0405139 | Other | WA | L&I-SEATTLE RADIOLOGY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085B0100X | Radiology - Body Imaging | M-13157 (Idaho) | Secondary |
| 2085B0100X | Radiology - Body Imaging | MD60461265 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | M-13157 (Idaho) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 072452 (Georgia) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | M-13157 (Idaho) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD60461265 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD60461265 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tyson Schwab Short And Weiss Psc | 0244125862 | 13 |
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 Louis Squire allows following entities to bill medicare on his behalf.
| Entity Name | X-ray Associates Of Louisville Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922046002
PECOS PAC ID: 9436146818
Enrollment ID: O20220315002523 |
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| Entity Name | Radia Inc P S |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932196607
PECOS PAC ID: 9931012812
Enrollment ID: O20220815002530 |
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| Entity Name | Tyson Schwab Short & Weiss Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194774760
PECOS PAC ID: 0244125862
Enrollment ID: O20230602000754 |
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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 Michael Louis Squire 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 Louis Squire, MD
2624 Ridgeway Cir,
Jones, OK 73049-4971
Ph: (630) 297-5302 | Dr Michael Louis Squire, MD
2624 Ridgeway Cir,
Jones, OK 73049-4971
Ph: (630) 297-5302 |
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