Peter M Nefcy, MD, PHD - Medicare Diagnostic Radiology in Warren, MI

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Peter M Nefcy, MD, PHD is a medicare enrolled "Radiology - Nuclear Radiology" physician in Warren, Michigan. He graduated from medical school in 1982 and has 44 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Trinity Health Of New England Provider Network Organization Inc, Basha Diagnostics P C, Michigan Neurology Associates Pc, Riverside Radiology And Interventional Associates Inc and his current practice location is 11012 E 13 Mile Rd, Suite 111, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 558-8470.

Peter M Nefcy is licensed to practice in Michigan (license number 4301046061) 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 1164414165.

Contact Information

Peter M Nefcy, MD, PHD
11012 E 13 Mile Rd, Suite 111,
Warren, MI 48093-2572
(586) 558-8470
(586) 558-8481

Map and Direction




Physician's Profile

Full NamePeter M Nefcy
GenderMale
SpecialityDiagnostic Radiology
Experience44 Years
Location11012 E 13 Mile Rd, Warren, Michigan
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:
  • Peter M Nefcy graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1164414165
  • Provider Enumeration Date: 08/17/2005
  • Last Update Date: 04/18/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5597753442
  • Enrollment ID: I20260504008119

Medical Identifiers

Medical identifiers for Peter M Nefcy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164414165NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085N0904XRadiology - Nuclear Radiology 4301046061 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Marietta Memorial HospitalMarietta, OHHospital
Knox Community HospitalMount vernon, OHHospital
Saint Francis Hospital & Medical CenterHartford, CTHospital
Blanchard Valley HospitalFindlay, OHHospital
Avita OntarioOntario, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trinity Health Of New England Provider Network Organization Inc0941113567644
Basha Diagnostics P C589068174628
Michigan Neurology Associates Pc862898746818
Riverside Radiology And Interventional Associates Inc8729976964251

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. Peter M Nefcy allows following entities to bill medicare on his behalf.
Entity NameTrinity Health of New England Provider Network Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003882812
PECOS PAC ID: 0941113567
Enrollment ID: O20031110000651

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. Peter M Nefcy 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
Peter M Nefcy, MD, PHD
29900 Lorraine Ave, Suite 400,
Warren, MI 48093-5266

Ph: (586) 582-0864		Peter M Nefcy, MD, PHD
11012 E 13 Mile Rd, Suite 111,
Warren, MI 48093-2572

Ph: (586) 558-8470

Reviews and Comments


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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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.