Philip William Mcguire, MD - Medicare Pathology in Hammond, IN

Philip William Mcguire, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Hammond, Indiana. He went to Indiana University School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Pathology Consultants Inc and his current practice location is 2434 Interstate Plaza Dr, Hammond, Indiana. You can reach out to his office (for appointments etc.) via phone at (800) 937-5521.

Philip William Mcguire is licensed to practice in Indiana (license number 01033795A) 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 1215920103.

Contact Information

Philip William Mcguire, MD
2434 Interstate Plaza Dr,
Hammond, IN 46324-2671
(800) 937-5521
(219) 845-4088

Map and Direction




Physician's Profile

Full NamePhilip William Mcguire
GenderMale
SpecialityPathology
Experience40 Years
Location2434 Interstate Plaza Dr, Hammond, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Philip William Mcguire attended and graduated from Indiana University School Of Medicine in 1984
  NPI Data:
  • NPI Number: 1215920103
  • Provider Enumeration Date: 08/25/2005
  • Last Update Date: 02/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9436059201
  • Enrollment ID: I20071115000090

Medical Identifiers

Medical identifiers for Philip William Mcguire such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215920103NPI-NPPES
351173213OtherINISPAT/INLAND
2826773004OtherINCIGNA
82427OtherINBC/BS
351173213OtherINHFN
100387750AMedicaidIN
01630255OtherILBC/BS
351173213OtherINSAGAMORE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0500XPathology - Cytopathology 01033795A (Indiana)Secondary
207ZC0500XPathology - Cytopathology 03607 (Illinois)Secondary
207ZH0000XPathology - Hematology 01033795A (Indiana)Secondary
207ZH0000XPathology - Hematology 036071972 (Illinois)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 036071972 (Illinois)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 01033795A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pathology Consultants Inc246635220819

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. Philip William Mcguire allows following entities to bill medicare on his behalf.
Entity NamePathology Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972596864
PECOS PAC ID: 2466352208
Enrollment ID: O20040109000447

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. Philip William Mcguire 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 AddressPractice Location Address
Philip William Mcguire, MD
5700 Southwyck Blvd,
Toledo, OH 43614-1509

Ph: (800) 288-8325
Philip William Mcguire, MD
2434 Interstate Plaza Dr,
Hammond, IN 46324-2671

Ph: (800) 937-5521

Reviews and Comments


Pathology Doctors in Hammond, IN

Gitie S Jaffe, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 5454 Hoffman Ave, Saint Margaret Mercy Healthcare Centers, Hammond, IN 46320
Phone: 708-891-9305    Fax: 219-933-2597
Carol Avi Handelsman, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 5454 Hohman Avenue, Saint Margaret Mercy Healthcare Centers, Hammond, IN 46320
Phone: 708-891-9305    Fax: 219-933-2597
Sara Masood,
Pathology
Medicare: Medicare Enrolled
Practice Location: 2434 Interstate Plaza Dr, Hammond, IN 46324
Phone: 800-937-5521    Fax: 219-845-4088
Elisabeth Cleary Shearon, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2434 Interstate Plaza Dr, Hammond, IN 46324
Phone: 219-989-3700    Fax: 219-845-4088
Dr. Huiya Huang, M.D., PH.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2434 Interstate Plaza Dr, Hammond, IN 46324
Phone: 800-937-5521    Fax: 291-845-4088
Emilie Morphew, MD
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 2434 Interstate Plaza Dr, Hammond, IN 46324
Phone: 800-937-5521    Fax: 219-845-4088

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.