Dr Carl Angelo Bifano, DMD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Sewell, New Jersey. His current practice location is
2 Plaza Dr Ste 202, Sewell, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 270-4100.
Dr Carl Angelo Bifano is licensed to practice in New Jersey (license number 22D102457901) 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 1124076500.
Healthcare Provider's Profile
| Full Name | Dr Carl Angelo Bifano |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 2 Plaza Dr Ste 202, Sewell, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124076500
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 04/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 4789861634
- Enrollment ID: I20110602000293
Medical Identifiers
Medical identifiers for Dr Carl Angelo Bifano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124076500 | NPI | - | NPPES |
| 1025303770001 | Medicaid | PA | |
| DS019214L | Other | PA | LICENSE |
| DI02457900 | Other | NJ | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 6833 (Maryland) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DI02457900 (New Jersey) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS019214L (Pennsylvania) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 22D102457901 (New Jersey) | 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 Carl Angelo Bifano allows following entities to bill medicare on his behalf.
| Entity Name | Cooper Surgical Associates, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427177195
PECOS PAC ID: 3274430764
Enrollment ID: O20031213000037 |
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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 Carl Angelo Bifano 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 Carl Angelo Bifano, DMD
1 Federal St Ste Sw200,
Camden, NJ 08103-1155
Ph: (856) 356-4924 | Dr Carl Angelo Bifano, DMD
2 Plaza Dr Ste 202,
Sewell, NJ 08080
Ph: (856) 270-4100 |
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