Dr Scott B O'connor, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Pontiac, Illinois. He went to Kent State University College Of Podiatric Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Podiatry. His current practice location is
1512 W Reynolds St Ste A, Pontiac, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 842-6551.
Dr Scott B O'connor is licensed to practice in Illinois (license number 016005106) 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 1992792261.
Healthcare Provider's Profile
Full Name | Dr Scott B O'connor |
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Gender | Male |
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Speciality | Podiatry |
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Experience | 28 Years |
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Location | 1512 W Reynolds St Ste A, Pontiac, 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. |
Medical Education and Training:
- Dr Scott B O'connor attended and graduated from Kent State University College Of Podiatric Medicine in 1996
NPI Data:
- NPI Number: 1992792261
- Provider Enumeration Date: 10/03/2005
- Last Update Date: 12/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 4385602366
- Enrollment ID: I20041222000065
Medical Identifiers
Medical identifiers for Dr Scott B O'connor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992792261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 016005106 (Illinois) | Primary |
Medical Facilities Affiliation
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. Dr Scott B O'connor allows following entities to bill medicare on his behalf.
Provider Name | Pro Podiatry, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1609064369 PECOS PAC ID: 4486612462 Enrollment ID: O20041222000042 |
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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. Dr Scott B O'connor 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 |
Dr Scott B O'connor, DPM 1512 W Reynolds St Ste A, Pontiac, IL 61764-9788 Ph: (815) 842-6551 | Dr Scott B O'connor, DPM 1512 W Reynolds St Ste A, Pontiac, IL 61764-9788 Ph: (815) 842-6551 |
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