Dr Paul E Duncan, MD - Medicare Family Medicine in Springfield, OH

Dr Paul E Duncan, MD is a medicare enrolled "Family Medicine" physician in Springfield, Ohio. His current practice location is 2555 Creekwood Ct, Springfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 327-0552.

Dr Paul E Duncan is licensed to practice in Ohio (license number 35073208) 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 1407039605.

Contact Information

Dr Paul E Duncan, MD
2555 Creekwood Ct,
Springfield, OH 45504-4056
(937) 327-0552
(937) 327-0556

Map and Direction




Physician's Profile

Full NameDr Paul E Duncan
GenderMale
SpecialityFamily Medicine
Location2555 Creekwood Ct, Springfield, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407039605
  • Provider Enumeration Date: 12/11/2007
  • Last Update Date: 01/23/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0446201990
  • Enrollment ID: I20050203000264

Medical Identifiers

Medical identifiers for Dr Paul E Duncan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407039605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35073208 (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 Paul E Duncan allows following entities to bill medicare on his behalf.
Entity NameUrgent Care Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114957123
PECOS PAC ID: 1850311010
Enrollment ID: O20051202000090

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 Paul E Duncan 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 Paul E Duncan, MD
2555 Creekwood Ct,
Springfield, OH 45504-4056

Ph: (937) 327-0552
Dr Paul E Duncan, MD
2555 Creekwood Ct,
Springfield, OH 45504-4056

Ph: (937) 327-0552

Reviews and Comments


Family Medicine Doctors in Springfield, OH

Rachel Regan, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 247 S Burnett Rd, Suite 210, Springfield, OH 45505
Phone: 937-328-8850    
Dr. Michael Steven Mckee, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 247 S Burnett Rd, Suite 210, Springfield, OH 45505
Phone: 937-328-8850    Fax: 937-328-8860
Richard E Gordon Jr., MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2701 Moorefield Rd, Springfield, OH 45502
Phone: 937-399-6650    
Dr. Sandy Danielle Turner, D.O.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 211 Northparke Dr, Springfield, OH 45503
Phone: 937-390-2471    Fax: 937-390-2471
Lucinda J. Knapp, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1176 E Home Rd, Suite O, Springfield, OH 45503
Phone: 937-398-0051    Fax: 937-398-0054
Dr. Bernadette Montante Deguzman, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 30 W Mccreight Ave, Ste. 208, Springfield, OH 45504
Phone: 937-323-1187    Fax: 937-323-1456
Crystal Amos Boykin,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2555 Creekwood Ct, Springfield, OH 45504
Phone: 937-327-0552    Fax: 937-327-0556

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.