Dr Paul Edward O'brien, MD - Medicare Surgery in Miamisburg, OH

Dr Paul Edward O'brien, MD is a medicare enrolled "Surgery" physician in Miamisburg, Ohio. His current practice location is 4000 Miamisburg Centerville Rd, Suite 435, Miamisburg, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 434-3180.

Dr Paul Edward O'brien is licensed to practice in Ohio (license number 35-03-8065-0) 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 1912964933.

Contact Information

Dr Paul Edward O'brien, MD
4000 Miamisburg Centerville Rd, Suite 435,
Miamisburg, OH 45342-7615
(937) 434-3180
(937) 434-9807

Map and Direction




Physician's Profile

Full NameDr Paul Edward O'brien
GenderMale
SpecialitySurgery
Location4000 Miamisburg Centerville Rd, Miamisburg, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912964933
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 01/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5395879522
  • Enrollment ID: I20100810000614

Medical Identifiers

Medical identifiers for Dr Paul Edward O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912964933NPI-NPPES
311047540-00OtherOHWORKER'S COMPENSATION #
0408366MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 35-03-8065-0 (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 Edward O'brien allows following entities to bill medicare on his behalf.
Entity NameAlliance Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529

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 Edward O'brien 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 Edward O'brien, MD
4000 Miamisburg Centerville Rd, Suite 435,
Miamisburg, OH 45342-7615

Ph: (937) 434-3180
Dr Paul Edward O'brien, MD
4000 Miamisburg Centerville Rd, Suite 435,
Miamisburg, OH 45342-7615

Ph: (937) 434-3180

Reviews and Comments


Surgery Doctors in Miamisburg, OH

Jessica Badillo, CST, CSFA
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342
Phone: 937-866-0551    
David L Schumacher, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2835 Miami Village Dr Ste 201, Miamisburg, OH 45342
Phone: 937-438-9500    

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.