Lawrence John Fanelly Jr, DO in Oregon, OH - Medicare Pathology

Lawrence John Fanelly Jr, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Oregon, Ohio. He went to Ohio State University College Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Consulting Pathologists Corp and his current practice location is 2600 Navarre Ave, Oregon, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 696-7216.

Lawrence John Fanelly Jr is licensed to practice in Ohio (license number 34003344F) 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 1285614503.

Contact Information

	Lawrence John Fanelly Jr, DO
	2600 Navarre Ave, Oregon, OH 43616-3207
	(419) 696-7216
	(419) 696-2123

Physician's Profile

Full Name	Lawrence John Fanelly Jr
Gender	Male
Speciality	Pathology
Experience	47 Years
Location	2600 Navarre Ave, Oregon, Ohio
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:

Lawrence John Fanelly Jr attended and graduated from Ohio State University College Of Medicine in 1977

NPI Data:

NPI Number: 1285614503
Provider Enumeration Date: 01/20/2006
Last Update Date: 09/15/2017

Medicare PECOS Information:

PECOS PAC ID: 6406981752
Enrollment ID: I20100311001082

Medical Identifiers

Medical identifiers for Lawrence John Fanelly Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285614503	NPI	-	NPPES
3402510110	Medicaid	MI
0494924	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	34003344F (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy St Vincent Medical Center	Toledo, OH	Hospital
Mercy Health - Tiffin Hospital	Tiffin, OH	Hospital
Mercy Health - Defiance Hospital	Defiance, OH	Hospital
Mercy Health - Willard Hospital	Willard, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Consulting Pathologists Corp	3577597277	8

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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. Lawrence John Fanelly Jr allows following entities to bill medicare on his behalf.

Entity Name	Consulting Pathologists Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740288471 PECOS PAC ID: 3577597277 Enrollment ID: O20050922000183

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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. Lawrence John Fanelly 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 Address	Practice Location Address
Lawrence John Fanelly Jr, DO P.o. Box 1188, Bowling Green, OH 43402-1188 Ph: (419) 698-9711	Lawrence John Fanelly Jr, DO 2600 Navarre Ave, Oregon, OH 43616-3207 Ph: (419) 696-7216

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Pathology Doctors in Oregon, OH

Alec Nooree Mian, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2600 Navarre Ave, St Charles Mercy Hospital, Oregon, OH 43616 Phone: 419-696-7216 Fax: 419-696-2123
Lachman Vishindas Chablani, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 2600 Navarre Ave, St Charles Mercy Hospital, Oregon, OH 43616 Phone: 419-696-7216 Fax: 419-696-2123
Dr. William Derek Kotchkoski, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2600 Navarre Ave, Oregon, OH 43616 Phone: 149-696-7200
Dr. Stacie Lynn Roshong-denk, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2600 Navarre Ave, Oregon, OH 43616 Phone: 419-696-7200

Lawrence John Fanelly Jr, DO - Medicare Pathology in Oregon, OH

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medical Facilities Affiliation

Group Practice Association

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Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Pathology Doctors in Oregon, OH