Dr Eleanora Cacciola, PHD is a medicare enrolled "Psychologist - Clinical" provider in Worcester, Massachusetts. Her current practice location is
135 Gold Star Blvd, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 459-6400.
Dr Eleanora Cacciola is licensed to practice in Massachusetts (license number 11794) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265806400.
Healthcare Provider's Profile
Full Name | Dr Eleanora Cacciola |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 135 Gold Star Blvd, Worcester, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265806400
- Provider Enumeration Date: 11/27/2015
- Last Update Date: 05/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577929793
- Enrollment ID: I20230515000104
Medical Identifiers
Medical identifiers for Dr Eleanora Cacciola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265806400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 11794 (Massachusetts) | Secondary |
103TC0700X | Psychologist - Clinical | 11794 (Massachusetts) | 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 Eleanora Cacciola allows following entities to bill medicare on her behalf.
Entity Name | Community Healthlink Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649293028 PECOS PAC ID: 1153230065 Enrollment ID: O20040726000222 |
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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 Eleanora Cacciola 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 Eleanora Cacciola, PHD 135 Gold Star Blvd, Worcester, MA 01606-2738 Ph: () - | Dr Eleanora Cacciola, PHD 135 Gold Star Blvd, Worcester, MA 01606-2738 Ph: (508) 459-6400 |
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