Andrea Vanessa Caraccioli, MD is a medicare enrolled "Hospitalist" physician in Albert Lea, Minnesota. Her current practice location is
404 W Fountain St, Albert Lea, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 373-2384.
Andrea Vanessa Caraccioli is licensed to practice in Minnesota (license number 61933) 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 1083057970.
Physician's Profile
| Full Name | Andrea Vanessa Caraccioli |
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| Gender | Female |
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| Speciality | Hospitalist |
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| Location | 404 W Fountain St, Albert Lea, Minnesota |
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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: 1083057970
- Provider Enumeration Date: 04/10/2013
- Last Update Date: 06/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 6608155932
- Enrollment ID: I20161109001714
Medical Identifiers
Medical identifiers for Andrea Vanessa Caraccioli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083057970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 285077 (New York) | Secondary |
| 208M00000X | Hospitalist | 61933 (Minnesota) | 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. Andrea Vanessa Caraccioli allows following entities to bill medicare on her behalf.
| Entity Name | North Shore - Lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Andrea Vanessa Caraccioli 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 |
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Andrea Vanessa Caraccioli, MD
1000 1st Dr Nw,
Austin, MN 55912-2941
Ph: (507) 433-7351 | Andrea Vanessa Caraccioli, MD
404 W Fountain St,
Albert Lea, MN 56007-2437
Ph: (507) 373-2384 |
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