Dr Kishley Bhalla, MD is a medicare enrolled "Hospitalist" physician in Miamisburg, Ohio. His current practice location is
2115 Leiter Rd, Miamisburg, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 384-6800.
Dr Kishley Bhalla is licensed to practice in Missouri (license number 2024013607) 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 1457976656.
Physician's Profile
| Full Name | Dr Kishley Bhalla |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 2115 Leiter Rd, Miamisburg, 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: 1457976656
- Provider Enumeration Date: 06/12/2020
- Last Update Date: 05/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113349234
- Enrollment ID: I20230727003489
Medical Identifiers
Medical identifiers for Dr Kishley Bhalla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457976656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 35.147966 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | 2024013607 (Missouri) | 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 Kishley Bhalla allows following entities to bill medicare on his behalf.
| Entity Name | Alliance Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529 |
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| Entity Name | South Dayton Acute Care Consultants, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669442950
PECOS PAC ID: 3577452465
Enrollment ID: O20040310001218 |
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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 Kishley Bhalla 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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Dr Kishley Bhalla, MD
2115 Leiter Rd,
Miamisburg, OH 45342-3600
Ph: (937) 384-6800 | Dr Kishley Bhalla, MD
2115 Leiter Rd,
Miamisburg, OH 45342-3600
Ph: (937) 384-6800 |
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