Dr Giacomo Maggiolino, MD is a medicare enrolled "Dermatology" physician in Kenosha, Wisconsin. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2005 and has 19 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Forefront Dermatology, Forefront Dermatology and his current practice location is
8501 75th St Ste J, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 697-8030.
Dr Giacomo Maggiolino is licensed to practice in Wisconsin (license number 53395-020) 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 1699924100.
Physician's Profile
| Full Name | Dr Giacomo Maggiolino |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 19 Years |
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| Location | 8501 75th St Ste J, Kenosha, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Giacomo Maggiolino attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2005
NPI Data:
- NPI Number: 1699924100
- Provider Enumeration Date: 09/09/2008
- Last Update Date: 07/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 2567521883
- Enrollment ID: I20081031000264
Medical Identifiers
Medical identifiers for Dr Giacomo Maggiolino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699924100 | NPI | - | NPPES |
| 53395-020 | Other | WI | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 53395-020 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Forefront Dermatology | 3779471701 | 483 |
| Forefront Dermatology | 3779471701 | 483 |
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 Giacomo Maggiolino allows following entities to bill medicare on his behalf.
| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053783308
PECOS PAC ID: 3779471701
Enrollment ID: O20151130001424 |
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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 Giacomo Maggiolino 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 Giacomo Maggiolino, MD
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 683-5278 | Dr Giacomo Maggiolino, MD
8501 75th St Ste J,
Kenosha, WI 53142-7602
Ph: (262) 697-8030 |
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