Cagney Carolina Cristancho Ramirez, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Worcester, Massachusetts. Her current practice location is
55 Lake Ave N, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(312) 721-0908.
Cagney Carolina Cristancho Ramirez is licensed to practice in * (Not Available) (license number ) 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 1538655758.
Physician's Profile
Full Name | Cagney Carolina Cristancho Ramirez |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 55 Lake Ave N, 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: 1538655758
- Provider Enumeration Date: 07/11/2018
- Last Update Date: 07/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 2567864374
- Enrollment ID: I20210715001356
Medical Identifiers
Medical identifiers for Cagney Carolina Cristancho Ramirez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538655758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 276913 (Massachusetts) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Cagney Carolina Cristancho Ramirez 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 |
Cagney Carolina Cristancho Ramirez, 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (774) 441-8270 | Cagney Carolina Cristancho Ramirez, 55 Lake Ave N, Worcester, MA 01655-0002 Ph: (312) 721-0908 |
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