Thomas Michael Pelant, MD in Rice Lake, WI

Thomas Michael Pelant, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rice Lake, Wisconsin. His current practice location is 1024 N Main St, Rice Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 234-8151.

Thomas Michael Pelant is licensed to practice in Wisconsin (license number 17779) 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 1134297559.

Contact Information

	Thomas Michael Pelant, MD
	1024 N Main St, Rice Lake, WI 54868-0028
	(715) 234-8151
	(715) 234-9750

Map and Direction

Physician's Profile

Full Name	Thomas Michael Pelant
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1024 N Main St, Rice Lake, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134297559
Provider Enumeration Date: 12/01/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6709846124
Enrollment ID: I20111207000859

Medical Identifiers

Medical identifiers for Thomas Michael Pelant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134297559	NPI	-	NPPES
30242200	Medicaid	WI
530068100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	17779 (Wisconsin)	Primary
2085R0202X	Radiology - Diagnostic Radiology	21630 (Minnesota)	Secondary

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. Thomas Michael Pelant allows following entities to bill medicare on his behalf.

Entity Name	Diagnostic Radiology Associates Of Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326116781 PECOS PAC ID: 5799752192 Enrollment ID: O20040915000262

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. Thomas Michael Pelant 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
Thomas Michael Pelant, MD 1024 N Main St, Rice Lake, WI 54868-1236 Ph: () -	Thomas Michael Pelant, MD 1024 N Main St, Rice Lake, WI 54868-0028 Ph: (715) 234-8151

Reviews and Comments

Radiology Doctors in Rice Lake, WI

Robert D Lefsrud, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750
Steven F Krah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100
Natasha Eshbaugh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750
Richard W Swanson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-7950
Gary A Johnson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750
John A Terrell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 North Main Street, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750

Thomas Michael Pelant, MD - Medicare Radiology in Rice Lake, WI