Charles J Vassallo, MD in New York, NY

Charles J Vassallo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in New York, New York. His current practice location is 581 Academy St Apt 5h, New York, New York. You can reach out to his office (for appointments etc.) via phone at (952) 595-1100.

Charles J Vassallo is licensed to practice in New York (license number 200230) 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 1578598330.

Contact Information

	Charles J Vassallo, MD
	581 Academy St Apt 5h, New York, NY 10034-5103
	(952) 595-1100
	(612) 294-4903

Map and Direction

Physician's Profile

Full Name	Charles J Vassallo
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	581 Academy St Apt 5h, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578598330
Provider Enumeration Date: 07/11/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6204727142
Enrollment ID: I20040322000978

Medical Identifiers

Medical identifiers for Charles J Vassallo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578598330	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	200230 (New York)	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. Charles J Vassallo allows following entities to bill medicare on his behalf.

Entity Name	Radadvantage A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20140820001550

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. Charles J Vassallo 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
Charles J Vassallo, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301	Charles J Vassallo, MD 581 Academy St Apt 5h, New York, NY 10034-5103 Ph: (952) 595-1100

Reviews and Comments

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Charles J Vassallo, MD - Medicare Radiology in New York, NY