Agnes Digiacomo, is a medicare enrolled "Audiologist" provider in Southport, Connecticut. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Ear Nose And Throat Allergy And Facial Plastic Surgery Specialists Llc and her current practice location is
2600 Post Rd, Southport, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 256-3338.
Agnes Digiacomo is licensed to practice in Connecticut (license number 000467) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205877057.
Healthcare Provider's Profile
| Full Name | Agnes Digiacomo |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 25 Years |
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| Location | 2600 Post Rd, Southport, Connecticut |
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| Accepts Medicare Assignments | Yes. She 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:
- Agnes Digiacomo graduated from medical school in 1999
NPI Data:
- NPI Number: 1205877057
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 01/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608803903
- Enrollment ID: I20220207000161
Medical Identifiers
Medical identifiers for Agnes Digiacomo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205877057 | NPI | - | NPPES |
| 7121300 | Medicaid | NJ | |
| 000467 | Other | CT | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 41YA00061000 (New Jersey) | Secondary |
| 231H00000X | Audiologist | 000467 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Ear Nose And Throat Allergy And Facial Plastic Surgery Specialists Llc | 3072600634 | 3 |
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. Agnes Digiacomo allows following entities to bill medicare on her behalf.
| Provider Name | Ear Nose & Throat Allergy & Facial Plastic Surgery Specialists Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1609942382
PECOS PAC ID: 3072600634
Enrollment ID: O20071029000416 |
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| Provider Name | Ear, Nose & Throat Center, Llp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396925053
PECOS PAC ID: 5890842223
Enrollment ID: O20090422000030 |
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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. Agnes Digiacomo 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 |
|---|
Agnes Digiacomo,
2600 Post Rd,
Southport, CT 06890-1258
Ph: (203) 256-3338 | Agnes Digiacomo,
2600 Post Rd,
Southport, CT 06890-1258
Ph: (203) 256-3338 |
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