Dr Michael Dean Medlock, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Salem, Massachusetts. He went to University Of Florida College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Middleton Family Medicine Urgent Care Llc, Congenial Healthcare Llc and his current practice location is
47 Congress St, Salem, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(978) 744-8388.
Dr Michael Dean Medlock is licensed to practice in Massachusetts (license number 79690) 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 1902887185.
Physician's Profile
Full Name | Dr Michael Dean Medlock |
---|
Gender | Male |
---|
Speciality | Neurosurgery |
---|
Experience | 40 Years |
---|
Location | 47 Congress St, Salem, Massachusetts |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Michael Dean Medlock attended and graduated from University Of Florida College Of Medicine in 1984
NPI Data:
- NPI Number: 1902887185
- Provider Enumeration Date: 11/07/2005
- Last Update Date: 11/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880684109
- Enrollment ID: I20040517001313
Medical Identifiers
Medical identifiers for Dr Michael Dean Medlock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902887185 | NPI | - | NPPES |
11000546A | Medicaid | MA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 79690 (Massachusetts) | Secondary |
208000000X | Pediatrics | 79690 (Massachusetts) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | 79690 (Massachusetts) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Middleton Family Medicine Urgent Care Llc | 0042533218 | 23 |
Congenial Healthcare Llc | 5395011522 | 12 |
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 Dean Medlock allows following entities to bill medicare on his behalf.
Entity Name | Middleton Family Medicine Urgent Care Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1902215106 PECOS PAC ID: 0042533218 Enrollment ID: O20141218001562 |
---|
Entity Name | Congenial Healthcare Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1730608720 PECOS PAC ID: 5395011522 Enrollment ID: O20171016002508 |
---|
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 Dean Medlock 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 Michael Dean Medlock, MD 43 Turning Mill Rd, Lexington, MA 02420-1319 Ph: (617) 833-8928 | Dr Michael Dean Medlock, MD 47 Congress St, Salem, MA 01970 Ph: (978) 744-8388 |
Reviews and Comments