Dr Prodromos Gordon Borboroglu, MD is a medicare enrolled "Urology" physician in West Melbourne, Florida. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. His current practice location is
575 S Wickham Rd, Suite A, West Melbourne, Florida. You can reach out to his office (for appointments etc.) via phone at
(321) 308-5060.
Dr Prodromos Gordon Borboroglu is licensed to practice in Florida (license number ME99271) 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 1770543894.
Physician's Profile
Full Name | Dr Prodromos Gordon Borboroglu |
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Gender | Male |
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Speciality | Urology |
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Experience | 30 Years |
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Location | 575 S Wickham Rd, West Melbourne, Florida |
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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. |
Medical Education and Training:
- Dr Prodromos Gordon Borboroglu attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1994
NPI Data:
- NPI Number: 1770543894
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 05/19/2015
Medicare PECOS Information:
- PECOS PAC ID: 7719056761
- Enrollment ID: I20080517000056
Medical Identifiers
Medical identifiers for Dr Prodromos Gordon Borboroglu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770543894 | NPI | - | NPPES |
P00631812 | Other | FL | RR MEDICARE |
280092600 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | ME99271 (Florida) | Primary |
Medical Facilities Affiliation
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 Prodromos Gordon Borboroglu allows following entities to bill medicare on his behalf.
Entity Name | Prody Urology, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578028197 PECOS PAC ID: 0547501074 Enrollment ID: O20190411000263 |
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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 Prodromos Gordon Borboroglu 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 Prodromos Gordon Borboroglu, MD 2200 W Eau Gallie Blvd, Suite 200, Melbourne, FL 32935-3165 Ph: (321) 308-5060 | Dr Prodromos Gordon Borboroglu, MD 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 Ph: (321) 308-5060 |
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