Dennis W Prohaska, D O is a medicare enrolled "Radiology - Diagnostic Radiology" in Chicago, Illinois. His current practice location is
1516 S Wabash Ave, Apt 1104, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(414) 870-5178.
Dennis W Prohaska is licensed to practice in Indiana (license number 02004880B) 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 1689651010.
Provider's Profile
| Full Name | Dennis W Prohaska |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 1516 S Wabash Ave, Chicago, Illinois |
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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:
- Dennis W Prohaska attended and graduated from in
NPI Data:
- NPI Number: 1689651010
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 07/15/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dennis W Prohaska such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689651010 | NPI | - | NPPES |
| 41994500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1610-023 (Wisconsin) | Secondary |
| 363A00000X | Physician Assistant | 085-002276 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 085-002276 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 02004880B (Indiana) | Primary |
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. Dennis W Prohaska 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 |
|---|
Dennis W Prohaska, D O
1516 S Wabash Ave, Apt 1104,
Chicago, IL 60605-2903
Ph: (414) 870-5178 | Dennis W Prohaska, D O
1516 S Wabash Ave, Apt 1104,
Chicago, IL 60605-2903
Ph: (414) 870-5178 |
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