Dr Michael Louis Squire, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jones, Oklahoma. His current practice location is
2624 Ridgeway Cir, Jones, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(630) 297-5302.
Dr Michael Louis Squire is licensed to practice in Washington (license number MD60461265) 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 1356592943.
Physician's Profile
| Full Name | Dr Michael Louis Squire |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 2624 Ridgeway Cir, Jones, Oklahoma |
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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 Louis Squire attended and graduated from in
NPI Data:
- NPI Number: 1356592943
- Provider Enumeration Date: 10/01/2008
- Last Update Date: 09/25/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Michael Louis Squire such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356592943 | NPI | - | NPPES |
| 0385157 | Other | WA | L&I-SOUTH SOUND RADIOLOGY |
| 0353469 | Other | WA | L&I-RADIA KING CTY |
| 2044272 | Medicaid | WA | |
| 0353470 | Other | WA | L&I-SWEDISH RADIA EDMONDS |
| 0353472 | Other | WA | L&I-EVERGREEN RADIA |
| 1356592943 | Medicaid | ID | |
| 0353429 | Other | WA | L&I-RADIA REST OF WA |
| 0405139 | Other | WA | L&I-SEATTLE RADIOLOGY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085B0100X | Radiology - Body Imaging | M-13157 (Idaho) | Secondary |
| 2085B0100X | Radiology - Body Imaging | MD60461265 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | M-13157 (Idaho) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 072452 (Georgia) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | M-13157 (Idaho) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD60461265 (Washington) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD60461265 (Washington) | Primary |
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 Louis Squire 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 Louis Squire, MD
2624 Ridgeway Cir,
Jones, OK 73049-4971
Ph: (630) 297-5302 | Dr Michael Louis Squire, MD
2624 Ridgeway Cir,
Jones, OK 73049-4971
Ph: (630) 297-5302 |
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