Prof Michael C Vacco, MD is a medicare enrolled "Pediatrics" physician in Big Stone Gap, Virginia. His current practice location is
1980 Holton Ave E, Suite 203, Big Stone Gap, Virginia. You can reach out to his office (for appointments etc.) via phone at
(276) 523-8681.
Prof Michael C Vacco is licensed to practice in Virginia (license number 0101237952) 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 1447222922.
Physician's Profile
| Full Name | Prof Michael C Vacco |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1980 Holton Ave E, Big Stone Gap, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447222922
- Provider Enumeration Date: 02/07/2006
- Last Update Date: 07/27/2012
Medicare PECOS Information:
- PECOS PAC ID: 6406891803
- Enrollment ID: I20050627000427
Medical Identifiers
Medical identifiers for Prof Michael C Vacco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447222922 | NPI | - | NPPES |
| 010157617 | Medicaid | VA | |
| 64103930 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 0101237952 (Virginia) | 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. Prof Michael C Vacco allows following entities to bill medicare on his behalf.
| Entity Name | Wellmont Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174808216
PECOS PAC ID: 8123291739
Enrollment ID: O20120627000467 |
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| Entity Name | Clinch Valley Physicians Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104265214
PECOS PAC ID: 9133146111
Enrollment ID: O20130821001053 |
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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. Prof Michael C Vacco 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 |
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Prof Michael C Vacco, MD
999 Executive Park Blvd, Suite 201,
Kingsport, TN 37660-4632
Ph: (423) 224-3250 | Prof Michael C Vacco, MD
1980 Holton Ave E, Suite 203,
Big Stone Gap, VA 24219-3366
Ph: (276) 523-8681 |
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