Dr Alfred A Caudullo, DO is a medicare enrolled "Emergency Medicine" physician in Vernon, Connecticut. His current practice location is
31 Union St, Vernon, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 872-5291.
Dr Alfred A Caudullo is licensed to practice in Connecticut (license number CT 000530) 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 1942276118.
Physician's Profile
Full Name | Dr Alfred A Caudullo |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 31 Union St, Vernon, Connecticut |
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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: 1942276118
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 0345241741
- Enrollment ID: I20070129000219
Medical Identifiers
Medical identifiers for Dr Alfred A Caudullo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942276118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | CT 000530 (Connecticut) | 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 Alfred A Caudullo allows following entities to bill medicare on his behalf.
Entity Name | The William W Backus Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467517235 PECOS PAC ID: 0749170645 Enrollment ID: O20040316000739 |
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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 Alfred A Caudullo 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 Alfred A Caudullo, DO 11 Shoddy Mill Rd, Bolton, CT 06043-7817 Ph: (860) 645-0115 | Dr Alfred A Caudullo, DO 31 Union St, Vernon, CT 06066-3126 Ph: (860) 872-5291 |
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