Dr Paul J Opsahl, MD - Medicare Family Practice in Waynesville, OH

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Dr Paul J Opsahl, MD is a medicare enrolled "Family Medicine" physician in Waynesville, Ohio. He went to University Of Cincinnati College Of Medicine and graduated in 1981 and has 44 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Medical Group and his current practice location is 4353 E State Route 73 Ste 120, Waynesville, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 897-0085.

Dr Paul J Opsahl is licensed to practice in Ohio (license number 35047593) 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 1619953742.

Contact Information

Dr Paul J Opsahl, MD
4353 E State Route 73 Ste 120,
Waynesville, OH 45068-8814
(513) 897-0085
(513) 897-0194

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Physician's Profile

Full NameDr Paul J Opsahl
GenderMale
SpecialityFamily Practice
Experience44 Years
Location4353 E State Route 73 Ste 120, Waynesville, Ohio
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 Paul J Opsahl attended and graduated from University Of Cincinnati College Of Medicine in 1981
  NPI Data:
  • NPI Number: 1619953742
  • Provider Enumeration Date: 12/20/2005
  • Last Update Date: 07/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042248932
  • Enrollment ID: I20050802000056

Medical Identifiers

Medical identifiers for Dr Paul J Opsahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619953742NPI-NPPES
000000227901OtherOHUNICARE
080188829OtherOHRAILROAD MEDICARE
35047593OtherMEDICAL LICENSE
0527497MedicaidOH
421534506034OtherOHCARESOURCE
634298OtherNDAETNA
OC05219OtherOHNATIONWIDE
0120625OtherNDUNITED HEALTH CARE
000000227901OtherOHANTHEM
4759302OtherOHHUMANA/CHOICECARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35047593 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crossroads Hospice Of Dayton, LlcDayton, OHHospice
Kettering Medical CenterKettering, OHHospital
Grandview And Southview HospitalsDayton, OHHospital
Bethesda NorthCincinnati, OHHospital
Miami Valley HospitalDayton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Medical Group286038634928

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 J Opsahl allows following entities to bill medicare on his behalf.
Entity NameProvidence Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972533149
PECOS PAC ID: 2860386349
Enrollment ID: O20040215000006
Entity NameCrossroads Hospice Of Dayton, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679741128
PECOS PAC ID: 2466527619
Enrollment ID: O20120816000398

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 J Opsahl 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 J Opsahl, MD
2912 Springboro W, Suite 201,
Dayton, OH 45439-1674

Ph: (513) 897-0085		Dr Paul J Opsahl, MD
4353 E State Route 73 Ste 120,
Waynesville, OH 45068-8814

Ph: (513) 897-0085

Reviews and Comments


Family Medicine Doctors in Waynesville, OH


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).

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