Ovleto W Ciccarelli, MD is a medicare enrolled "Surgery" physician in Randolph, Vermont. His current practice location is
44 S Main St, Randolph, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 728-2430.
Ovleto W Ciccarelli is licensed to practice in Vermont (license number 042-0010095) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982664249.
Physician's Profile
Full Name | Ovleto W Ciccarelli |
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Gender | Male |
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Speciality | Surgery |
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Location | 44 S Main St, Randolph, Vermont |
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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: 1982664249
- Provider Enumeration Date: 03/23/2006
- Last Update Date: 04/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 3274625702
- Enrollment ID: I20070829000076
Medical Identifiers
Medical identifiers for Ovleto W Ciccarelli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982664249 | NPI | - | NPPES |
1013959 | Medicaid | VT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 042-0010095 (Vermont) | 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. Ovleto W Ciccarelli allows following entities to bill medicare on his behalf.
Entity Name | Gifford Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942329446 PECOS PAC ID: 4880683663 Enrollment ID: O20040507000460 |
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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. Ovleto W Ciccarelli 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 |
Ovleto W Ciccarelli, MD 44 S Main St, Randolph, VT 05060-1381 Ph: (802) 728-2430 | Ovleto W Ciccarelli, MD 44 S Main St, Randolph, VT 05060-1381 Ph: (802) 728-2430 |
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