Dr Gary D Kresge, DO is a medicare enrolled "Orthopaedic Surgery" physician in Port Clinton, Ohio. His current practice location is
611 Fulton St G, Port Clinton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 732-8837.
Dr Gary D Kresge is licensed to practice in Ohio (license number 34-004197) 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 1134155351.
Physician's Profile
Full Name | Dr Gary D Kresge |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 611 Fulton St G, Port Clinton, 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: 1134155351
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 11/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 4284538646
- Enrollment ID: I20070727000268
Medical Identifiers
Medical identifiers for Dr Gary D Kresge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134155351 | NPI | - | NPPES |
200041541 | Other | OH | MEDICARE RAILROAD |
0655554 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 34-004197 (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. Dr Gary D Kresge allows following entities to bill medicare on his behalf.
Entity Name | Magruder Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871015578 PECOS PAC ID: 1951675198 Enrollment ID: O20170926004144 |
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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. Dr Gary D Kresge 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 |
Dr Gary D Kresge, DO 611 Fulton St G, Port Clinton, OH 43452-2008 Ph: (419) 732-8837 | Dr Gary D Kresge, DO 611 Fulton St G, Port Clinton, OH 43452-2008 Ph: (419) 732-8837 |
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