Dr Richard Lewis O'halloran, MD is a medicare enrolled "Urology" physician in Warsaw, Illinois. His current practice location is
1102 N County Road 700, Warsaw, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 256-4100.
Dr Richard Lewis O'halloran is licensed to practice in Illinois (license number 036089108) 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 1528143971.
Physician's Profile
| Full Name | Dr Richard Lewis O'halloran |
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| Gender | Male |
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| Speciality | Urology |
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| Location | 1102 N County Road 700, Warsaw, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528143971
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 11/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618910654
- Enrollment ID: I20080429000570
Medical Identifiers
Medical identifiers for Dr Richard Lewis O'halloran such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528143971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208800000X | Urology | 036089108 (Illinois) | 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 Richard Lewis O'halloran allows following entities to bill medicare on his behalf.
| Entity Name | Blessing Corporate Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720186265 PECOS PAC ID: 5991616138 Enrollment ID: O20040116000382 |
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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 Richard Lewis O'halloran 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 Richard Lewis O'halloran, MD 927 Broadway St, Suite 303, Quincy, IL 62301-2719 Ph: (217) 223-8400 | Dr Richard Lewis O'halloran, MD 1102 N County Road 700, Warsaw, IL 62379-3011 Ph: (217) 256-4100 |
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