Dr Dominick Anthony Siconolfi Iii, DO - Medicare Emergency Medicine in Stratford, NJ

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Dr Dominick Anthony Siconolfi Iii, DO is a medicare enrolled "Emergency Medicine" physician in Stratford, New Jersey. He went to Rowan University School Of Osteopathic Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Mayo Clinic Health System-southeast Minnesota Region and his current practice location is 18 E Laurel Rd, Stratford, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 346-7985.

Dr Dominick Anthony Siconolfi Iii is licensed to practice in New Jersey (license number 25MB11059000) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255823415.

Contact Information

Dr Dominick Anthony Siconolfi Iii, DO
18 E Laurel Rd,
Stratford, NJ 08084-1327
(856) 346-7985
Not Available

Map and Direction




Physician's Profile

Full NameDr Dominick Anthony Siconolfi Iii
GenderMale
SpecialityEmergency Medicine
Experience6 Years
Location18 E Laurel Rd, Stratford, New Jersey
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dominick Anthony Siconolfi Iii attended and graduated from Rowan University School Of Osteopathic Medicine in 2018
  NPI Data:
  • NPI Number: 1255823415
  • Provider Enumeration Date: 06/04/2018
  • Last Update Date: 10/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6709295314
  • Enrollment ID: I20230517002927

Medical Identifiers

Medical identifiers for Dr Dominick Anthony Siconolfi Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255823415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 72901 (Minnesota)Secondary
207P00000XEmergency Medicine 25MB11059000 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Winneshiek Medical CenterDecorah, IAHospital
Mayo Clinic Health System - Lake CityLake city, MNHospital
Owatonna HospitalOwatonna, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic Health System-southeast Minnesota Region4385556703560

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 Dominick Anthony Siconolfi Iii allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Health System-lake City
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164463659
PECOS PAC ID: 1951213487
Enrollment ID: O20031104000095
Entity NameMayo Clinic Health System-southeast Minnesota Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891701637
PECOS PAC ID: 4385556703
Enrollment ID: O20031104000408
Entity NameWinneshiek Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093857393
PECOS PAC ID: 4688582935
Enrollment ID: O20050502000593
Entity NameMayo Clinic Health System-lake City
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538113022
PECOS PAC ID: 1951213487
Enrollment ID: O20070711000490
Entity NameMayo Clinic Health System-southeast Minnesota Region
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1063435410
PECOS PAC ID: 4385556703
Enrollment ID: O20171011003946

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 Dominick Anthony Siconolfi Iii 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 AddressPractice Location Address
Dr Dominick Anthony Siconolfi Iii, DO
18 E Laurel Rd,
Stratford, NJ 08084-1327

Ph: (856) 346-7985		Dr Dominick Anthony Siconolfi Iii, DO
18 E Laurel Rd,
Stratford, NJ 08084-1327

Ph: (856) 346-7985

Reviews and Comments


Emergency Medicine Doctors in Stratford, NJ

Dr. Alan Nicolo Lucerna, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 18 E Laurel Rd, Stratford, NJ 08084
Phone: 856-566-6859    
Dr. Eric Kyle Dichter, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Stratford, NJ 08084
Phone: 856-566-7050    
Dr. Kevin Thomas Dwyer, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Center Dr, Stratford, NJ 08084
Phone: 856-346-7985    Fax: 856-346-6573
Dr. Robert John Horn, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: One Medical Center Drive, Umdnj-som, Stratford, NJ 08084
Phone: 856-566-6708    
Dr. Razwana Wahdat, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18 E Laurel Rd, Stratford, NJ 08084
Phone: 856-346-7985    
Daniel Thomas Ellis, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 18 Laurel Rd E, Stratford, NJ 08084
Phone: 856-346-7816    Fax: 856-346-6385
Dr. Charles H. Nolte, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 18 E Laurel Rd, Department Of Emergency Medicine, Stratford, NJ 08084
Phone: 856-346-1985    Fax: 856-346-6573

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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