Ms Jill Louise Cacciabando, APNP is a medicare enrolled "Nurse Practitioner" physician in Saint Louis, Missouri. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physician Services Corporation Of Southern Illinois Inc, Ssm Medical Group Inc, Ssm Health Care St Louis, Dean Health Systems Inc, Saints Medical Group, Llc and her current practice location is
30 Ronnies Plz, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at
(314) 989-6807.
Ms Jill Louise Cacciabando is licensed to practice in Missouri (license number 145585) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356378467.
Physician's Profile
Full Name | Ms Jill Louise Cacciabando |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 19 Years |
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Location | 30 Ronnies Plz, Saint Louis, Missouri |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Jill Louise Cacciabando attended and graduated from University Of Missouri, Columbia School Of Medicine in 2005
NPI Data:
- NPI Number: 1356378467
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 11/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012926678
- Enrollment ID: I20060411000271
Medical Identifiers
Medical identifiers for Ms Jill Louise Cacciabando such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356378467 | NPI | - | NPPES |
209005863 | Medicaid | IL | |
1356378467 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 209005863 (Illinois) | Secondary |
207Q00000X | Family Medicine | 41349641 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 11394 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 144585 (Missouri) | Secondary |
363L00000X | Nurse Practitioner | 145585 (Missouri) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 100 |
Ssm Medical Group Inc | 6608776299 | 496 |
Ssm Health Care St Louis | 7810800737 | 143 |
Dean Health Systems Inc | 7012827983 | 1054 |
Saints Medical Group, Llc | 7012914898 | 358 |
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. Ms Jill Louise Cacciabando allows following entities to bill medicare on her behalf.
Entity Name | Physician Services Corporation Of Southern Illinois Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
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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. Ms Jill Louise Cacciabando 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 |
Ms Jill Louise Cacciabando, APNP Po Box 955534, Saint Louis, MO 63195-5218 Ph: () - | Ms Jill Louise Cacciabando, APNP 30 Ronnies Plz, Saint Louis, MO 63126-3552 Ph: (314) 989-6807 |
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