Dr Dominic J Cirillo, MD, PHD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Tonawanda, New York. His current practice location is
175 Briarhurst Dr, Tonawanda, New York. You can reach out to his office (for appointments etc.) via phone at
(319) 321-5451.
Dr Dominic J Cirillo is licensed to practice in New York (license number 285631) 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 1497916431.
Physician's Profile
| Full Name | Dr Dominic J Cirillo |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 175 Briarhurst Dr, Tonawanda, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497916431
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800168832
- Enrollment ID: I20170824003709
Medical Identifiers
Medical identifiers for Dr Dominic J Cirillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497916431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | R-8428 (Iowa) | Secondary |
| 207R00000X | Internal Medicine | 285631 (New York) | Secondary |
| 208D00000X | General Practice | 40121 (Iowa) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 285631 (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. Dr Dominic J Cirillo allows following entities to bill medicare on his behalf.
| Entity Name | Medical Health Practitioner Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447795026
PECOS PAC ID: 7012291040
Enrollment ID: O20170310001185 |
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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 Dominic J Cirillo 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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Dr Dominic J Cirillo, MD, PHD
175 Briarhurst Dr,
Tonawanda, NY 14150-8837
Ph: (319) 321-5451 | Dr Dominic J Cirillo, MD, PHD
175 Briarhurst Dr,
Tonawanda, NY 14150
Ph: (319) 321-5451 |
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