Michael J Pole, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Wauseon, Ohio. He went to Wright State University Boonshoft School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Apex Radiology Inc and his current practice location is
725 S Shoop Ave, Wauseon, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 335-2015.
Michael J Pole is licensed to practice in Ohio (license number 35.068270) 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 1154390292.
Physician's Profile
| Full Name | Michael J Pole |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 33 Years |
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| Location | 725 S Shoop Ave, Wauseon, Ohio |
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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. |
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Medical Education and Training:
- Michael J Pole attended and graduated from Wright State University Boonshoft School Of Medicine in 1991
NPI Data:
- NPI Number: 1154390292
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 08/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 4688588239
- Enrollment ID: I20040708000344
Medical Identifiers
Medical identifiers for Michael J Pole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154390292 | NPI | - | NPPES |
| 2020128 | Medicaid | OH | |
| 000000491789 | Other | OH | ANTHEM BCBS |
| 4947873 | Medicaid | MI | |
| P00358054 | Other | OH | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 35.068270 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Apex Radiology Inc | 0042217572 | 2 |
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. Michael J Pole allows following entities to bill medicare on his behalf.
| Entity Name | Apex Radiology Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255432050
PECOS PAC ID: 0042217572
Enrollment ID: O20061026000074 |
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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. Michael J Pole 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 |
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Michael J Pole, MD
Po Box 1178,
Lima, OH 45802-1178
Ph: (866) 582-9150 | Michael J Pole, MD
725 S Shoop Ave,
Wauseon, OH 43567-1702
Ph: (419) 335-2015 |
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