Emily Caufield, CPNP-PC - Medicare Pediatrics in O Fallon, IL

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Emily Caufield, CPNP-PC is a medicare enrolled "Pediatrics" physician in O Fallon, Illinois. Her current practice location is 604 Pierce Blvd, O Fallon, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 222-9244.

Emily Caufield is licensed to practice in Missouri (license number 2019012551) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619515384.

Contact Information

Emily Caufield, CPNP-PC
604 Pierce Blvd,
O Fallon, IL 62269-2588
(618) 222-9244
Not Available

Map and Direction




Physician's Profile

Full NameEmily Caufield
GenderFemale
SpecialityPediatrics
Location604 Pierce Blvd, O Fallon, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619515384
  • Provider Enumeration Date: 12/12/2019
  • Last Update Date: 12/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8325484611
  • Enrollment ID: I20240308001939

Medical Identifiers

Medical identifiers for Emily Caufield such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619515384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 209020428 (Illinois)Secondary
208000000XPediatrics 2019012551 (Missouri)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. Emily Caufield allows following entities to bill medicare on her behalf.
Entity NameSsm Cardinal Glennon Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174577670
PECOS PAC ID: 7012828163
Enrollment ID: O20031231000604

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. Emily Caufield 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
Emily Caufield, CPNP-PC
604 Pierce Blvd,
O Fallon, IL 62269-2588

Ph: (618) 222-9244		Emily Caufield, CPNP-PC
604 Pierce Blvd,
O Fallon, IL 62269-2588

Ph: (618) 222-9244

Reviews and Comments


Pediatrics Doctors in O Fallon, IL

Dr. Kevin M Ponciroli, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 793 Sunset Blvd, O Fallon, IL 62269
Phone: 618-668-2473    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.