Dr Michael Anthony P Borromeo, MD is a medicare enrolled "Internal Medicine" physician in Red Lake, Minnesota. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Phs Indian Hospital and his current practice location is
Highway 1, Ihs Box 165, Red Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 679-3912.
Dr Michael Anthony P Borromeo is licensed to practice in Minnesota (license number 43108) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063447605.
Physician's Profile
| Full Name | Dr Michael Anthony P Borromeo |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 31 Years |
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| Location | Highway 1, Red Lake, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Anthony P Borromeo graduated from medical school in 1993
NPI Data:
- NPI Number: 1063447605
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 11/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 5294912242
- Enrollment ID: I20110531000717
Medical Identifiers
Medical identifiers for Dr Michael Anthony P Borromeo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063447605 | NPI | - | NPPES |
| 34G20BO | Other | MN | BC/BS OF MN |
| HSZ009 | Other | MN | PART B |
| HSZ011 | Other | MN | PART B |
| 510010100 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 43108 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phs Indian Hospital | 4789598731 | 21 |
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 Michael Anthony P Borromeo allows following entities to bill medicare on his behalf.
| Entity Name | Phs Indian Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508809765
PECOS PAC ID: 4789598731
Enrollment ID: O20031114000287 |
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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 Michael Anthony P Borromeo 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 Michael Anthony P Borromeo, MD
24760 Hospital Drive, Box 497,
Red Lake, MN 56671-0165
Ph: (218) 679-3912 | Dr Michael Anthony P Borromeo, MD
Highway 1, Ihs Box 165,
Red Lake, MN 56671-0165
Ph: (218) 679-3912 |
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