Dr Michael J Clegg, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lackland Air Force Base, Texas. He went to Creighton University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Radiology Consultants Pc, Radiology Consultants Pc and his current practice location is
Whmc 2200 Bergquist Drive, Suite 1, Lackland Air Force Base, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 292-7667.
Dr Michael J Clegg is licensed to practice in Nebraska (license number 23957) 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 1518189174.
Physician's Profile
| Full Name | Dr Michael J Clegg |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 19 Years |
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| Location | Whmc 2200 Bergquist Drive, Suite 1, Lackland Air Force Base, Texas |
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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 J Clegg attended and graduated from Creighton University School Of Medicine in 2005
NPI Data:
- NPI Number: 1518189174
- Provider Enumeration Date: 05/03/2007
- Last Update Date: 07/24/2017
Medicare PECOS Information:
- PECOS PAC ID: 2163646233
- Enrollment ID: I20160708001514
Medical Identifiers
Medical identifiers for Dr Michael J Clegg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518189174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 23957 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 23957 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Radiology Consultants Pc | 8325947799 | 42 |
| Radiology Consultants Pc | 8325947799 | 42 |
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 J Clegg allows following entities to bill medicare on his behalf.
| Entity Name | Broadlawns Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467447508
PECOS PAC ID: 3678466166
Enrollment ID: O20040206000913 |
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| Entity Name | Radiology Consultants Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215969407
PECOS PAC ID: 8325947799
Enrollment ID: O20040317000474 |
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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 J Clegg 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 J Clegg, MD
55 Westport Plaza Dr., Suite 300,
St. Louis, MO 63146-5300
Ph: (314) 548-4715 | Dr Michael J Clegg, MD
Whmc 2200 Bergquist Drive, Suite 1,
Lackland Air Force Base, TX 78236-5300
Ph: (210) 292-7667 |
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