Dennis W Prohaska, D O is a medicare enrolled "Radiology - Diagnostic Radiology" in Chicago, Illinois. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2010 and has 14 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Imaging Associates Of Indiana Pc, Imaging Associates Of Indiana Pc and 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 | Diagnostic Radiology |
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| Experience | 14 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 Midwestern University, Chicago College Of Osteopathic Med in 2010
NPI Data:
- NPI Number: 1689651010
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 07/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 3375526494
- Enrollment ID: I20160728002440
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Imaging Associates Of Indiana Pc | 1254503345 | 179 |
| Imaging Associates Of Indiana Pc | 1254503345 | 179 |
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. Dennis W Prohaska allows following entities to bill medicare on his behalf.
| Entity Name | Imaging Associates Of Indiana Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699072611
PECOS PAC ID: 1254503345
Enrollment ID: O20111014000250 |
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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. 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 |
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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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