Dr Walter Bodjanac, DO is a medicare enrolled "Plastic Surgery" physician in Ontario, Ohio. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Center For Dermatology Pllc, Pinnacle Dermatology Sc and his current practice location is
715 Richland Mall, Ontario, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 756-9996.
Dr Walter Bodjanac is licensed to practice in Ohio (license number 34-00-5512-B) 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 1376525188.
Physician's Profile
| Full Name | Dr Walter Bodjanac |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 22 Years |
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| Location | 715 Richland Mall, Ontario, Ohio |
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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 Walter Bodjanac graduated from medical school in 2002
NPI Data:
- NPI Number: 1376525188
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 12/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 7517937121
- Enrollment ID: I20221222001381
Medical Identifiers
Medical identifiers for Dr Walter Bodjanac such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376525188 | NPI | - | NPPES |
| 0161355 | Medicaid | OH | |
| 2171126 | Other | OH | AETNA GOLDEN |
| 000000141877 | Other | OH | ANTHEM |
| 1143537003 | Other | OH | CIGNA |
| 91970 | Other | OH | QUAL CHOICE |
| 5489782 | Other | OH | AETNA MGD CHOICE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 34-00-5512-B (Ohio) | Secondary |
| 208200000X | Plastic Surgery | 34-00-5512-B (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Center For Dermatology Pllc | 1557355385 | 63 |
| Pinnacle Dermatology Sc | 8628353380 | 160 |
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 Walter Bodjanac allows following entities to bill medicare on his behalf.
| Entity Name | Center For Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194792416
PECOS PAC ID: 1557355385
Enrollment ID: O20040413001574 |
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| Entity Name | Pinnacle Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861930984
PECOS PAC ID: 8628353380
Enrollment ID: O20221202000958 |
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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 Walter Bodjanac 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 Walter Bodjanac, DO
700 N Columbus St,
Crestline, OH 44827-1455
Ph: (419) 468-0522 | Dr Walter Bodjanac, DO
715 Richland Mall,
Ontario, OH 44906-3802
Ph: (419) 756-9996 |
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