Olivia Arballo, DO is a medicare enrolled "Dermatology" physician in Fort Campbell, Kentucky. Her current practice location is
650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 798-8345.
Olivia Arballo is licensed to practice in Tennessee (license number 4164) 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 1184084089.
Physician's Profile
Full Name | Olivia Arballo |
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Gender | Female |
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Speciality | Dermatology |
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Location | 650 Joel Dr, Fort Campbell, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184084089
- Provider Enumeration Date: 03/04/2016
- Last Update Date: 05/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911399027
- Enrollment ID: I20240411001249
Medical Identifiers
Medical identifiers for Olivia Arballo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184084089 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 4164 (Tennessee) | 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. Olivia Arballo allows following entities to bill medicare on her behalf.
Entity Name | Apex Dermatology And Skin Surgery Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689973638 PECOS PAC ID: 1052589777 Enrollment ID: O20110725000647 |
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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. Olivia Arballo 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 |
Olivia Arballo, DO Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Ph: () - | Olivia Arballo, DO 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (270) 798-8345 |
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