Thomas J Hagele, is a medicare enrolled "Dermatology" physician in Newark, Ohio. He went to Wright State University Boonshoft School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Licking Memorial Professional Corporation and his current practice location is
1717 W Main St Ste 204, Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at
(220) 564-7955.
Thomas J Hagele is licensed to practice in Ohio (license number 35.127460) 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 1659638443.
Physician's Profile
| Full Name | Thomas J Hagele |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 12 Years |
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| Location | 1717 W Main St Ste 204, Newark, 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:
- Thomas J Hagele attended and graduated from Wright State University Boonshoft School Of Medicine in 2012
NPI Data:
- NPI Number: 1659638443
- Provider Enumeration Date: 04/18/2012
- Last Update Date: 03/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042506750
- Enrollment ID: I20160907000544
Medical Identifiers
Medical identifiers for Thomas J Hagele such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659638443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 35.127460 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Licking Memorial Professional Corporation | 6204740731 | 202 |
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. Thomas J Hagele allows following entities to bill medicare on his behalf.
| Entity Name | Licking Memorial Professional Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326072265
PECOS PAC ID: 6204740731
Enrollment ID: O20031203000131 |
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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. Thomas J Hagele 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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Thomas J Hagele,
1717 W Main St Ste 204,
Newark, OH 43055-1362
Ph: (220) 564-7955 | Thomas J Hagele,
1717 W Main St Ste 204,
Newark, OH 43055-1362
Ph: (220) 564-7955 |
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