Adam G Levin, is a medicare enrolled "Dermatology" physician in Wauseon, Ohio. His current practice location is
1090 N Shoop Ave, Wauseon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 330-5200.
Adam G Levin is licensed to practice in California (license number PTL1315) 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 1952862468.
Physician's Profile
| Full Name | Adam G Levin |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 1090 N Shoop Ave, Wauseon, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952862468
- Provider Enumeration Date: 03/27/2019
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941669873
- Enrollment ID: I20230710002534
Medical Identifiers
Medical identifiers for Adam G Levin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952862468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 34.016538 (Ohio) | Secondary |
| 207N00000X | Dermatology | 5101027433 (Michigan) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | PTL1315 (California) | 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. Adam G Levin allows following entities to bill medicare on his behalf.
| Entity Name | Toledo Clinic Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669423455
PECOS PAC ID: 5698673382
Enrollment ID: O20040617001265 |
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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. Adam G Levin 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 |
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Adam G Levin,
4235 Secor Rd,
Toledo, OH 43623-4299
Ph: (419) 479-5795 | Adam G Levin,
1090 N Shoop Ave,
Wauseon, OH 43567-1821
Ph: (419) 330-5200 |
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