Dr William T Correll, DO in Plymouth, IN - Medicare Family Practice

Dr William T Correll, DO is a medicare enrolled "Family Medicine" physician in Plymouth, Indiana. He went to Michigan State University College Of Osteopathic Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Iha Health Services Corporation, Saint Joseph Regional Medical Center Inc and his current practice location is 1919 Lake Ave Ste 106, Plymouth, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 335-5220.

Dr William T Correll is licensed to practice in Indiana (license number 02007492A) 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 1154371581.

Contact Information

	Dr William T Correll, DO
	1919 Lake Ave Ste 106, Plymouth, IN 46563-7830
	(574) 335-5220
	(574) 335-0859

Map and Direction

Physician's Profile

Full Name	Dr William T Correll
Gender	Male
Speciality	Family Practice
Experience	25 Years
Location	1919 Lake Ave Ste 106, Plymouth, Indiana
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 William T Correll attended and graduated from Michigan State University College Of Osteopathic Medicine in 1999

NPI Data:

NPI Number: 1154371581
Provider Enumeration Date: 05/10/2006
Last Update Date: 05/13/2024

Medicare PECOS Information:

PECOS PAC ID: 5799750618
Enrollment ID: I20040901001286

Medical Identifiers

Medical identifiers for Dr William T Correll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154371581	NPI	-	NPPES
300082849	Medicaid	IN
4849184	Medicaid	MI
4849193	Medicaid	MI
1022813	Other	MI	MHP HAN INDIVIDUAL
4963714	Medicaid	MI
080D410020	Other	MI	BDBSM COM BLUE
4849166	Medicaid	MI
1022851	Other	MI	MHP HAN GROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5101014163DO (Michigan)	Secondary
207Q00000X	Family Medicine	5101014163 (Michigan)	Secondary
207Q00000X	Family Medicine	02007492A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Joseph Regional Medical Center - Plymouth	Plymouth, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iha Health Services Corporation	2466351440	945
Saint Joseph Regional Medical Center Inc	8325950843	101

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 William T Correll allows following entities to bill medicare on his behalf.

Entity Name	Iha Health Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355

Entity Name	Ascension Borgess Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029

Entity Name	Kalamazoo Emergency Associates, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078

Entity Name	Synanon Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588650261 PECOS PAC ID: 6204899172 Enrollment ID: O20050105001095

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 William T Correll 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 William T Correll, DO 707 Cedar St, South Bend, IN 46617-2054 Ph: () -	Dr William T Correll, DO 1919 Lake Ave Ste 106, Plymouth, IN 46563-7830 Ph: (574) 335-5220

Reviews and Comments

Family Medicine Doctors in Plymouth, IN

Laura Elizabeth Blackford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2349 Lake Ave, Suite 100, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-948-5499
Viraj S Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1904 Lake Ave, Plymouth, IN 46563 Phone: 574-936-3178 Fax: 574-936-1084
Rebecca M Brice, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-948-4000 Fax: 574-948-5454
Abdul Sami Qazi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-948-4000 Fax: 574-948-5454
Craig B Miller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2349 Lake Ave Ste 100, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-948-5499
Tod Alan Stillson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-335-0745
Dr. Sally Beazlie-walker, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-348-0745

Dr William T Correll, DO - Medicare Family Practice in Plymouth, IN