Michael J Palko Iii, MD is a medicare enrolled "Pathology - Dermatopathology" physician in Hinesville, Georgia. His current practice location is
510 E Oglethorpe Hwy, Hinesville, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 369-7546.
Michael J Palko Iii is licensed to practice in Georgia (license number 049863) 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 1093797144.
Physician's Profile
| Full Name | Michael J Palko Iii |
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| Gender | Male |
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| Speciality | Pathology - Dermatopathology |
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| Location | 510 E Oglethorpe Hwy, Hinesville, Georgia |
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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: 1093797144
- Provider Enumeration Date: 11/15/2005
- Last Update Date: 04/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 8729054663
- Enrollment ID: I20041110000009
Medical Identifiers
Medical identifiers for Michael J Palko Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093797144 | NPI | - | NPPES |
| DC4061 | Other | GA | RAILROAD MEDICARE |
| P00176683 | Other | GA | RAILROAD MEDICARE |
| 000977171C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 049863 (Georgia) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 049863 (Georgia) | 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. Michael J Palko Iii allows following entities to bill medicare on his behalf.
| Entity Name | Georgia Dermatology & Skin Cancer Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063460459 PECOS PAC ID: 7113980855 Enrollment ID: O20041104000512 |
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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. Michael J Palko Iii 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 |
Michael J Palko Iii, MD 2400 Bellevue Rd, Suite 21-a, Dublin, GA 31021-2885 Ph: (478) 275-7202 | Michael J Palko Iii, MD 510 E Oglethorpe Hwy, Hinesville, GA 31313 Ph: (912) 369-7546 |
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