Lee M Periolat, MD in Valparaiso, IN - Medicare Psychiatry & Neurology

Lee M Periolat, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Valparaiso, Indiana. His current practice location is 601 Wall St, Valparaiso, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 531-3662.

Lee M Periolat is licensed to practice in Indiana (license number 01026484) 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 1417974072.

Contact Information

	Lee M Periolat, MD
	601 Wall St, Valparaiso, IN 46383-2512
	(219) 531-3662
	Not Available

Map and Direction

Physician's Profile

Full Name	Lee M Periolat
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	601 Wall St, Valparaiso, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417974072
Provider Enumeration Date: 07/17/2006
Last Update Date: 11/25/2020

Medicare PECOS Information:

PECOS PAC ID: 3678748399
Enrollment ID: I20111208000199

Medical Identifiers

Medical identifiers for Lee M Periolat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417974072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	01026484 (Indiana)	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. Lee M Periolat allows following entities to bill medicare on his behalf.

Entity Name	Porter-starke Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689627598 PECOS PAC ID: 1951293554 Enrollment ID: O20040330000098

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. Lee M Periolat 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
Lee M Periolat, MD 601 Wall St, Valparaiso, IN 46383-2512 Ph: (219) 531-3662	Lee M Periolat, MD 601 Wall St, Valparaiso, IN 46383-2512 Ph: (219) 531-3662

Reviews and Comments

Psychiatry & Neurology Doctors in Valparaiso, IN

Dr. Amandeep Verma, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 Wall St, Valparaiso, IN 46383 Phone: 219-476-4639 Fax: 219-476-4501
Dr. Ryan William Pappas, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2000 Roosevelt Rd Ste 207, Valparaiso, IN 46383 Phone: 844-774-3627 Fax: 219-364-3616
Richard Henry Silberman Ii, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1551 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-548-0235 Fax: 219-548-8366
Dr. Sajiv John, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 Wall St, Valparaiso, IN 46383 Phone: 219-531-3500
Dr. Linda Gail Munson, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 Wall St, Porter Starke Services, Valparaiso, IN 46383 Phone: 219-531-3662
Dr. Brenda Kay O'shea, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 601 Wall St, Valparaiso, IN 46383 Phone: 219-531-3500 Fax: 219-531-3662

Lee M Periolat, MD - Medicare Psychiatry & Neurology in Valparaiso, IN