Michael Patrick Prendergast, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dayton, Ohio. His current practice location is
1 Childrens Plz, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 641-3433.
Michael Patrick Prendergast is licensed to practice in * (Not Available) (license number ) 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 1730743964.
Physician's Profile
| Full Name | Michael Patrick Prendergast |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Childrens Plz, Dayton, Ohio |
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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: 1730743964
- Provider Enumeration Date: 04/23/2019
- Last Update Date: 09/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274919626
- Enrollment ID: I20221007002111
Medical Identifiers
Medical identifiers for Michael Patrick Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1730743964 | NPI | - | NPPES |
| MD26386 | Other | ME | MAINE BOARD OF MEDICINE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | MD26386 (Maine) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Patrick Prendergast allows following entities to bill medicare on his behalf.
| Entity Name | University Hospitals Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
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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 Patrick Prendergast 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 Patrick Prendergast, MD 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (937) 641-3433 | Michael Patrick Prendergast, MD 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (937) 641-3433 |
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