Dominic Cercone, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Cleveland, Ohio. His current practice location is
11100 Euclid Ave, Cleveland, Ohio. You can reach out to his office (for appointments etc.) via phone at
(216) 844-1000.
Dominic Cercone is licensed to practice in * (Not Available) (license number ) 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 1003263849.
Physician's Profile
Full Name | Dominic Cercone |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 11100 Euclid Ave, Cleveland, Ohio |
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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: 1003263849
- Provider Enumeration Date: 05/23/2016
- Last Update Date: 09/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224317110
- Enrollment ID: I20210510000014
Medical Identifiers
Medical identifiers for Dominic Cercone such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003263849 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | MD468996 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dominic Cercone allows following entities to bill medicare on his behalf.
Entity Name | University Of Pittsburgh Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
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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. Dominic Cercone 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 |
Dominic Cercone, 4401 Penn Avenue, Administrative Office Building, Suite 2400, Pittsburgh, PA 15224-1334 Ph: () - | Dominic Cercone, 11100 Euclid Ave, Cleveland, OH 44106-1716 Ph: (216) 844-1000 |
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