Mr Charles Vincent Perniciaro, MD in Tampa, FL

Mr Charles Vincent Perniciaro, MD is a medicare enrolled "Dermatology - Dermatopathology" physician in Tampa, Florida. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1983 and has 41 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Surgical Pathology Laboratories Pa, Pathology Associates Pa and his current practice location is 10406 Seaside Way, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 860-1929.

Mr Charles Vincent Perniciaro is licensed to practice in Florida (license number ME51624) 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 1972557890.

Contact Information

	Mr Charles Vincent Perniciaro, MD
	10406 Seaside Way, Tampa, FL 33615-4251
	(904) 860-1929
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Charles Vincent Perniciaro
Gender	Male
Speciality	Pathology
Experience	41 Years
Location	10406 Seaside Way, Tampa, Florida
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:

Mr Charles Vincent Perniciaro attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1983

NPI Data:

NPI Number: 1972557890
Provider Enumeration Date: 05/22/2006
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 5092763243
Enrollment ID: I20050105000253

Medical Identifiers

Medical identifiers for Mr Charles Vincent Perniciaro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972557890	NPI	-	NPPES
070014059	Other	FL	MEDICARE RR
52332476003	Other	GA	BCBSGA
10287	Other	FL	BCBS FL
000837075B	Medicaid	GA
HY024A	Other	FL	FL MEDAIACRE PTAN
070014191	Other	GA	MEDICARE RR
07BBSHB	Other	GA	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	017322 (Louisiana)	Secondary
207N00000X	Dermatology	28877 (Minnesota)	Secondary
207N00000X	Dermatology	21961 (Arizona)	Secondary
207N00000X	Dermatology	K6231 (Texas)	Secondary
207ND0900X	Dermatology - Dermatopathology	2013-02379 (North Carolina)	Secondary
207ND0900X	Dermatology - Dermatopathology	36240 (South Carolina)	Secondary
207ND0900X	Dermatology - Dermatopathology	51624 (Florida)	Secondary
207ND0900X	Dermatology - Dermatopathology	042694 (Georgia)	Secondary
207ND0900X	Dermatology - Dermatopathology	ME51624 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Josephs Hospital	Tampa, FL	Hospital
St Anthonys Hospital	Saint petersburg, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Surgical Pathology Laboratories Pa	4385785880	7
Pathology Associates Pa	7719044270	5

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. Mr Charles Vincent Perniciaro allows following entities to bill medicare on his behalf.

Entity Name	University Of Florida Jacksonville Physicians, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786

Entity Name	Pathology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548367170 PECOS PAC ID: 7719044270 Enrollment ID: O20090327000140

Entity Name	Surgical Pathology Laboratories Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184698086 PECOS PAC ID: 4385785880 Enrollment ID: O20100106000251

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. Mr Charles Vincent Perniciaro 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
Mr Charles Vincent Perniciaro, MD 10406 Seaside Way, Tampa, FL 33615-4251 Ph: (904) 860-1929	Mr Charles Vincent Perniciaro, MD 10406 Seaside Way, Tampa, FL 33615-4251 Ph: (904) 860-1929

Reviews and Comments

Dermatology Doctors in Tampa, FL

Dr. Scott Forrester Lindsey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 310 S. Macdill Ave., Suite 201, Tampa, FL 33609 Phone: 813-609-3810 Fax: 813-559-1846
Dr. Alan M Freedman, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4412 W Osborne Ave, Tampa, FL 33614 Phone: 813-914-9100 Fax: 239-278-1159
Philip Shenefelt, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 12901 Bruce B Downs Blvd, Mdc 79, Tampa, FL 33612 Phone: 813-974-2920
Dr. Henry E Wiley Iii, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1425 S Howard Ave, Tampa, FL 33606 Phone: 813-253-2635 Fax: 813-254-7142
Ferwa Mohammed, PA-C Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602 Phone: 813-590-6868
Dr. Salma Z Pothiawala, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15310 Amberly Dr, Suite 150, Tampa, FL 33647 Phone: 813-978-8888 Fax: 813-972-8974
Brianna Castillo, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 11601 Sheldon Rd, Tampa, FL 33626 Phone: 813-324-6630 Fax: 813-926-1500

Mr Charles Vincent Perniciaro, MD - Medicare Pathology in Tampa, FL