Kevin M Omilusik, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Frankfort, Michigan. His current practice location is
224 Park Ave, Frankfort, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 352-2990.
Kevin M Omilusik is licensed to practice in Michigan (license number 4301065619) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1679579122.
Physician's Profile
Full Name | Kevin M Omilusik |
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Gender | Male |
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Speciality | Emergency Medicine - Emergency Medical Services |
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Location | 224 Park Ave, Frankfort, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679579122
- Provider Enumeration Date: 06/21/2005
- Last Update Date: 11/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183670219
- Enrollment ID: I20120125000952
Medical Identifiers
Medical identifiers for Kevin M Omilusik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679579122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 4301065619 (Michigan) | Primary |
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. Kevin M Omilusik allows following entities to bill medicare on his behalf.
Entity Name | Munson Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
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Entity Name | Paul Oliver Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427054360 PECOS PAC ID: 8628964848 Enrollment ID: O20040225000359 |
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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. Kevin M Omilusik 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 |
Kevin M Omilusik, MD 224 Park Ave, Frankfort, MI 49635-9658 Ph: (231) 352-2990 | Kevin M Omilusik, MD 224 Park Ave, Frankfort, MI 49635-9658 Ph: (231) 352-2990 |
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