Luke Wibowo, MD in Dayton, OH - Medicare Pathology

Luke Wibowo, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Dayton, Ohio. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Digestive Specialists Inc, Valley Pathologists, Inc and his current practice location is 1 Wyoming St, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 208-2978.

Luke Wibowo is licensed to practice in Ohio (license number 35.068054) 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 1861487068.

Contact Information

	Luke Wibowo, MD
	1 Wyoming St, Dayton, OH 45409-2722
	(937) 208-2978
	(937) 208-6137

Map and Direction

Physician's Profile

Full Name	Luke Wibowo
Gender	Male
Speciality	Pathology
Experience	43 Years
Location	1 Wyoming St, Dayton, Ohio
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:

Luke Wibowo graduated from medical school in 1981

NPI Data:

NPI Number: 1861487068
Provider Enumeration Date: 09/14/2005
Last Update Date: 01/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0749355840
Enrollment ID: I20080826000026

Medical Identifiers

Medical identifiers for Luke Wibowo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861487068	NPI	-	NPPES
0338469	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	35.068054 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Miami Valley Hospital	Dayton, OH	Hospital
Upper Valley Medical Center	Troy, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Digestive Specialists Inc	2062300809	26
Valley Pathologists, Inc	7214821289	12

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. Luke Wibowo allows following entities to bill medicare on his behalf.

Entity Name	Valley Pathologists, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992798854 PECOS PAC ID: 7214821289 Enrollment ID: O20040211000025

Entity Name	Cytology Associates Of Dayton, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518950476 PECOS PAC ID: 1658265632 Enrollment ID: O20040211000046

Entity Name	Digestive Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770556532 PECOS PAC ID: 2062300809 Enrollment ID: O20040304001069

Entity Name	Challa Ajit Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629142815 PECOS PAC ID: 7012916232 Enrollment ID: O20061215000148

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. Luke Wibowo 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
Luke Wibowo, MD Po Box 20452, Columbus, OH 43220-0452 Ph: (614) 457-8180	Luke Wibowo, MD 1 Wyoming St, Dayton, OH 45409-2722 Ph: (937) 208-2978

Reviews and Comments

Pathology Doctors in Dayton, OH

Rebecca R. Balaj, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2978 Fax: 937-208-6137
Dr. Ronald C Chiu, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming Street, Pathology Lab, Dayton, OH 45409 Phone: 937-208-2978
Dr. Michael Benjamin Gentry, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3535 Southern Blvd, Dayton, OH 45429 Phone: 937-395-8849
Paul G Koles, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3640 Colonel Glenn Hwy, 125 White Hall, Dayton, OH 45435 Phone: 937-775-2625 Fax: 937-775-2633
Patrick J Connelly, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-2777
Mrs. Sharda Gupta, MD Pathology Medicare: Medicare Enrolled Practice Location: 5895 Batsford Drive, Dayton, OH 45459 Phone: 937-433-6883 Fax: 937-433-6883
Dr. Manibha Banerjee, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2222 Philadelphia Dr, Dayton, OH 45406 Phone: 937-278-6251

Luke Wibowo, MD - Medicare Pathology in Dayton, OH