William Michael Hughes Jr, DO - Medicare Sports Medicine in Louisville, KY

William Michael Hughes Jr, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Louisville, Kentucky. He went to West Virginia School Of Osteopathic Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Baptist Health Medical Group Inc and his current practice location is 2400 Eastpoint Pkwy, Suite 110, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 253-6699.

William Michael Hughes Jr is licensed to practice in Kentucky (license number 08032) 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 1912266305.

Contact Information

William Michael Hughes Jr, DO
2400 Eastpoint Pkwy, Suite 110,
Louisville, KY 40223-4154
(502) 253-6699
(502) 253-6670

Map and Direction




Physician's Profile

Full NameWilliam Michael Hughes Jr
GenderMale
SpecialitySports Medicine
Experience12 Years
Location2400 Eastpoint Pkwy, Louisville, Kentucky
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:
  • William Michael Hughes Jr attended and graduated from West Virginia School Of Osteopathic Medicine in 2012
  NPI Data:
  • NPI Number: 1912266305
  • Provider Enumeration Date: 05/07/2012
  • Last Update Date: 12/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3072743673
  • Enrollment ID: I20151125000117

Medical Identifiers

Medical identifiers for William Michael Hughes Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912266305NPI-NPPES
7100387180MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 03832 (Kentucky)Secondary
207QS0010XFamily Medicine - Sports Medicine 08032 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health LouisvilleLouisville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Health Medical Group Inc55978671841934

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. William Michael Hughes Jr allows following entities to bill medicare on his behalf.
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740586213
PECOS PAC ID: 5597867184
Enrollment ID: O20070228000503

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. William Michael Hughes Jr 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
William Michael Hughes Jr, DO
2700 Stanley Gault Pkwy Ste 129,
Louisville, KY 40223-5176

Ph: (502) 489-6613
William Michael Hughes Jr, DO
2400 Eastpoint Pkwy, Suite 110,
Louisville, KY 40223-4154

Ph: (502) 253-6699

Reviews and Comments


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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.