Dr Capri Mara Fillmore, MD is a medicare enrolled "Family Medicine" physician in Arcadia, Wisconsin. Her current practice location is
464 S Saint Joseph Ave, Arcadia, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 323-3341.
Dr Capri Mara Fillmore is licensed to practice in Wisconsin (license number 43268) 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 1649472010.
Physician's Profile
Full Name | Dr Capri Mara Fillmore |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 464 S Saint Joseph Ave, Arcadia, Wisconsin |
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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: 1649472010
- Provider Enumeration Date: 06/05/2007
- Last Update Date: 10/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 9931290020
- Enrollment ID: I20070803000108
Medical Identifiers
Medical identifiers for Dr Capri Mara Fillmore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649472010 | NPI | - | NPPES |
005273601 | Other | | MEDICARE PART B |
8HM164 | Other | NM | PROVIDER NUMBER FOR MEDICARE |
91934770 | Medicaid | NM | |
H3451 | Medicaid | NM | |
HSZ196 | Other | NM | MEDICARE PART B |
K3526 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 43268 (Wisconsin) | 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 Capri Mara Fillmore allows following entities to bill medicare on her behalf.
Entity Name | Dhhs Ihs Phoenix Area |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356628028 PECOS PAC ID: 9436325420 Enrollment ID: O20120222000148 |
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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 Capri Mara Fillmore 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 Capri Mara Fillmore, MD 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 Ph: (608) 323-3341 | Dr Capri Mara Fillmore, MD 464 S Saint Joseph Ave, Arcadia, WI 54612-1401 Ph: (608) 323-3341 |
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