Dr Michael William Mariscalco, MD is a medicare enrolled "Orthopaedic Surgery" physician in Prince George, Virginia. He went to Wright State University Boonshoft School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Orthovirginia Inc, Ivyrehab Sept, Llc and his current practice location is
4710 Puddledock Rd, Suite 100, Prince George, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 732-0095.
Dr Michael William Mariscalco is licensed to practice in Virginia (license number 0101254090) 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 1912176140.
Physician's Profile
Full Name | Dr Michael William Mariscalco |
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Gender | Male |
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Speciality | Orthopedic Surgery |
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Experience | 17 Years |
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Location | 4710 Puddledock Rd, Prince George, Virginia |
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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. |
Medical Education and Training:
- Dr Michael William Mariscalco attended and graduated from Wright State University Boonshoft School Of Medicine in 2007
NPI Data:
- NPI Number: 1912176140
- Provider Enumeration Date: 02/21/2008
- Last Update Date: 09/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618127267
- Enrollment ID: I20131011001645
Medical Identifiers
Medical identifiers for Dr Michael William Mariscalco such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912176140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 57.012988 (Ohio) | Secondary |
207X00000X | Orthopaedic Surgery | 0101254090 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Orthovirginia Inc | 0547157224 | 491 |
Ivyrehab Sept, Llc | 7911990908 | 1173 |
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 Michael William Mariscalco allows following entities to bill medicare on his behalf.
Entity Name | Orthovirginia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487671822 PECOS PAC ID: 0547157224 Enrollment ID: O20040228000320 |
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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 Michael William Mariscalco 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 Michael William Mariscalco, MD 1115 Boulders Pkwy, Suite 200, North Chesterfield, VA 23225-4067 Ph: (804) 560-5595 | Dr Michael William Mariscalco, MD 4710 Puddledock Rd, Suite 100, Prince George, VA 23875-1237 Ph: (804) 732-0095 |
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