Michael L Vick, is a medicare enrolled "Otolaryngology" physician in Dallas, Georgia. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is
504 W Memorial Dr, Dallas, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 505-7190.
Michael L Vick is licensed to practice in Georgia (license number 044656) 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 1073503165.
Physician's Profile
| Full Name | Michael L Vick |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 28 Years |
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| Location | 504 W Memorial Dr, Dallas, Georgia |
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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 L Vick graduated from medical school in 1996
NPI Data:
- NPI Number: 1073503165
- Provider Enumeration Date: 10/28/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8123106580
- Enrollment ID: I20080425000059
Medical Identifiers
Medical identifiers for Michael L Vick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073503165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 044656 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wellstar Medical Group, Llc | 6709065402 | 1917 |
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 L Vick allows following entities to bill medicare on his behalf.
| Entity Name | Wellstar Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374 |
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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 L Vick 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 L Vick,
504 W Memorial Dr,
Dallas, GA 30132-4119
Ph: (770) 505-7190 | Michael L Vick,
504 W Memorial Dr,
Dallas, GA 30132-4119
Ph: (770) 505-7190 |
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