Michael Patrick Prendergast, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Dayton, Ohio. His current practice location is
1 Childrens Plz, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 641-3433.
Michael Patrick Prendergast is licensed to practice in * (Not Available) (license number ) 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 1730743964.
Physician's Profile
Full Name | Michael Patrick Prendergast |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1 Childrens Plz, Dayton, Ohio |
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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: 1730743964
- Provider Enumeration Date: 04/23/2019
- Last Update Date: 09/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274919626
- Enrollment ID: I20221007002111
Medical Identifiers
Medical identifiers for Michael Patrick Prendergast such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730743964 | NPI | - | NPPES |
MD26386 | Other | ME | MAINE BOARD OF MEDICINE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | MD26386 (Maine) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Michael Patrick Prendergast allows following entities to bill medicare on his behalf.
Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
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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 Patrick Prendergast 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 |
Michael Patrick Prendergast, MD 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (937) 641-3433 | Michael Patrick Prendergast, MD 1 Childrens Plz, Dayton, OH 45404-1873 Ph: (937) 641-3433 |
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