Dr Joseph Connolly Iii, DO - Medicare Psychiatry & Neurology in Wpafb, OH

Dr Joseph Connolly Iii, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Wpafb, Ohio. His current practice location is 4881 Sugar Maple Dr, Wpafb, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 257-8718.

Dr Joseph Connolly Iii is licensed to practice in Nevada (license number 541) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275520926.

Contact Information

Dr Joseph Connolly Iii, DO
4881 Sugar Maple Dr,
Wpafb, OH 45433-5529
(937) 257-8718
(937) 656-1347



Physician's Profile

Full NameDr Joseph Connolly Iii
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location4881 Sugar Maple Dr, Wpafb, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1275520926
  • Provider Enumeration Date: 09/28/2005
  • Last Update Date: 01/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567855059
  • Enrollment ID: I20230313001093

Medical Identifiers

Medical identifiers for Dr Joseph Connolly Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275520926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0100XPreventive Medicine - Aerospace Medicine OP00001583 (Washington)Secondary
2083A0100XPreventive Medicine - Aerospace Medicine 2614 (Arizona)Secondary
2084N0400XPsychiatry & Neurology - Neurology 20A 5869 (California)Secondary
2084N0400XPsychiatry & Neurology - Neurology 541 (Nevada)Primary

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 Joseph Connolly Iii allows following entities to bill medicare on his behalf.
Entity NameCommunity Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720031768
PECOS PAC ID: 1951324318
Enrollment ID: O20060111000900

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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 Joseph Connolly Iii 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
Dr Joseph Connolly Iii, DO
4881 Sugar Maple Dr,
Wpafb, OH 45433-5529

Ph: (937) 257-8718
Dr Joseph Connolly Iii, DO
4881 Sugar Maple Dr,
Wpafb, OH 45433-5529

Ph: (937) 257-8718

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Psychiatry & Neurology Doctors in Wpafb, OH

Jessica Porcelan, MD
Psychiatry & Neurology
Medicare: May Accept Medicare Assignments
Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433
Phone: 937-257-6877    
Dr. Tyler Eldon Yorgason, DO
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433
Phone: 372-570-8379    
Alice A Hale, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 4881 Sugar Maple Dr, Sgoh, Wpafb, OH 45433
Phone: 937-257-6877    Fax: 937-986-1192
Stacy A Solheim, D.O.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433
Phone: 937-257-6877    
Dr. Matthew James Baker, D.O.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433
Phone: 937-257-6877    Fax: 937-656-1192
William Robert Clark, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 4881 Sugar Maple Dr, Wpafb, OH 45433
Phone: 937-257-6877    

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