David J Corallo, DO is a medicare enrolled "Dermatology" physician in Beloit, Ohio. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 1995 and has 29 years of diverse experience with area of expertise as Dermatology. His current practice location is
18586 5th St, Beloit, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 938-3333.
David J Corallo is licensed to practice in Ohio (license number 34006945C) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225126212.
Physician's Profile
| Full Name | David J Corallo |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 29 Years |
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| Location | 18586 5th St, Beloit, Ohio |
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| Accepts Medicare Assignments | Yes. He 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:
- David J Corallo attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 1995
NPI Data:
- NPI Number: 1225126212
- Provider Enumeration Date: 10/11/2006
- Last Update Date: 02/09/2010
Medicare PECOS Information:
- PECOS PAC ID: 4880739150
- Enrollment ID: I20100311000343
Medical Identifiers
Medical identifiers for David J Corallo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225126212 | NPI | - | NPPES |
| 070016762 | Other | OH | RAIL ROAD MEDICARE |
| 2241425 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 34006945C (Ohio) | Primary |
Medical Facilities Affiliation
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. David J Corallo allows following entities to bill medicare on his behalf.
| Entity Name | David J. Corallo, D.o. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790974442
PECOS PAC ID: 1153466438
Enrollment ID: O20100311000363 |
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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. David J Corallo 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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David J Corallo, DO
18586 5th St,
Beloit, OH 44609-9799
Ph: (330) 938-3333 | David J Corallo, DO
18586 5th St,
Beloit, OH 44609-9799
Ph: (330) 938-3333 |
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