Dr Salvatore John Dellacona, MD is a medicare enrolled "Family Medicine" physician in Lizella, Georgia. His current practice location is
1700 Springhill Church Rd, Lizella, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 335-4862.
Dr Salvatore John Dellacona is licensed to practice in Georgia (license number 034329) 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 1063463750.
Physician's Profile
| Full Name | Dr Salvatore John Dellacona |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1700 Springhill Church Rd, Lizella, Georgia |
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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: 1063463750
- Provider Enumeration Date: 05/15/2006
- Last Update Date: 09/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 8426040031
- Enrollment ID: I20200728000512
Medical Identifiers
Medical identifiers for Dr Salvatore John Dellacona such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063463750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 034329 (Georgia) | Primary |
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 Salvatore John Dellacona 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 Salvatore John Dellacona, MD
1700 Springhill Church Rd,
Lizella, GA 31052
Ph: (478) 335-4862 | Dr Salvatore John Dellacona, MD
1700 Springhill Church Rd,
Lizella, GA 31052
Ph: (478) 335-4862 |
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