Connor Mcmahon, PT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Newark, Ohio. His current practice location is
1980 Tamarack Rd, Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 788-9220.
Connor Mcmahon is licensed to practice in Ohio (license number PT018152) 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 1821658030.
Physician's Profile
| Full Name | Connor Mcmahon |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1980 Tamarack Rd, Newark, 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: 1821658030
- Provider Enumeration Date: 06/19/2019
- Last Update Date: 06/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769719079
- Enrollment ID: I20190808004204
Medical Identifiers
Medical identifiers for Connor Mcmahon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821658030 | NPI | - | NPPES |
| PT0 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | PT018152 (Ohio) | 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. Connor Mcmahon allows following entities to bill medicare on his behalf.
| Entity Name | Enliven Rehabilitation Services Llc |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1386202554
PECOS PAC ID: 1850626375
Enrollment ID: O20190705000167 |
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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. Connor Mcmahon 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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Connor Mcmahon, PT
1980 Tamarack Rd,
Newark, OH 43055-1363
Ph: () - | Connor Mcmahon, PT
1980 Tamarack Rd,
Newark, OH 43055-1363
Ph: (740) 788-9220 |
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