Kelly Ann Difabio, DO is a medicare enrolled "Emergency Medicine" physician in Wall Township, New Jersey. Her current practice location is
1825 Rte 35, Wall Township, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 280-2600.
Kelly Ann Difabio is licensed to practice in New Jersey (license number 25MB10085300) 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 1265870091.
Physician's Profile
| Full Name | Kelly Ann Difabio |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Location | 1825 Rte 35, Wall Township, New Jersey |
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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: 1265870091
- Provider Enumeration Date: 06/14/2013
- Last Update Date: 01/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 5890085492
- Enrollment ID: I20170725003094
Medical Identifiers
Medical identifiers for Kelly Ann Difabio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265870091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | 25MB10085300 (New Jersey) | 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. Kelly Ann Difabio allows following entities to bill medicare on her behalf.
| Entity Name | Barron Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790736940
PECOS PAC ID: 8820083785
Enrollment ID: O20040419001416 |
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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. Kelly Ann Difabio 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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Kelly Ann Difabio, DO
83 Vanard Dr,
Brick, NJ 08723-7441
Ph: (610) 203-5910 | Kelly Ann Difabio, DO
1825 Rte 35,
Wall Township, NJ 07719-3541
Ph: (732) 280-2600 |
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