Leopoldo Mario Basilico, MD in Columbia, TN - Medicare Internal Medicine

Leopoldo Mario Basilico, MD is a medicare enrolled "Internal Medicine" physician in Columbia, Tennessee. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Sutter Valley Medical Foundation and his current practice location is 1224 Trotwood Ave, Columbia, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 381-1111.

Leopoldo Mario Basilico is licensed to practice in Tennessee (license number 50850) 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 1538480603.

Contact Information

	Leopoldo Mario Basilico, MD
	1224 Trotwood Ave, Columbia, TN 38401-4802
	(931) 381-1111
	Not Available

Map and Direction

Physician's Profile

Full Name	Leopoldo Mario Basilico
Gender	Male
Speciality	Internal Medicine
Experience	14 Years
Location	1224 Trotwood Ave, Columbia, Tennessee
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:

Leopoldo Mario Basilico graduated from medical school in 2010

NPI Data:

NPI Number: 1538480603
Provider Enumeration Date: 06/11/2010
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7214150051
Enrollment ID: I20181012002185

Medical Identifiers

Medical identifiers for Leopoldo Mario Basilico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538480603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125058563 (Illinois)	Secondary
208M00000X	Hospitalist	036131046 (Illinois)	Secondary
207R00000X	Internal Medicine	50850 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Roseville Medical Center	Roseville, CA	Hospital
Sutter Medical Center, Sacramento	Sacramento, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Valley Medical Foundation	9830094515	1919

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. Leopoldo Mario Basilico allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Leopoldo Mario Basilico 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
Leopoldo Mario Basilico, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 381-1111	Leopoldo Mario Basilico, MD 1224 Trotwood Ave, Columbia, TN 38401-4802 Ph: (931) 381-1111

Reviews and Comments

Internal Medicine Doctors in Columbia, TN

Bethany G Summerford, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111
Jessica Joseph-alexis, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1220 Trotwood Ave Ste 401, Columbia, TN 38401 Phone: 931-388-8622
Dr. Hany Nimr Rezk, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105
Anthony Donald Haase Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-380-4072 Fax: 931-490-7043
Christopher R Edwards, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1224 Trotwood Ave, Columbia, TN 38401 Phone: 931-381-1111
Dr. Cheryl Buttram Clayton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 854 W James Campbell Blvd, Ste. 101a, Columbia, TN 38401 Phone: 931-388-3209 Fax: 931-388-0105
John Spencer Jensen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1222 Trotwood Ave, Suite 503, Columbia, TN 38401 Phone: 931-490-7775 Fax: 931-490-7797

Leopoldo Mario Basilico, MD - Medicare Internal Medicine in Columbia, TN