Carl Bevilacqua Iii, is a
Massage Therapist based in Modena, New York. Carl Bevilacqua Iii is licensed to practice in New York (license number 029970) and his current practice location is
215d Woodcrest Dr Apt 215d, Modena, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 586-6993.
NPI number for Carl Bevilacqua Iii is 1184158735 and his current mailing address is 215d Woodcrest Dr Apt 215d, Modena, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184158735.
Healthcare Provider's Profile
Full Name | Carl Bevilacqua Iii |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 215d Woodcrest Dr Apt 215d, Modena, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184158735
- Provider Enumeration Date: 04/19/2017
- Last Update Date: 04/19/2017
Medical Identifiers
Medical identifiers for Carl Bevilacqua Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184158735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 029970 (New York) | Primary |
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. Carl Bevilacqua Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carl Bevilacqua Iii, 215d Woodcrest Dr Apt 215d, Modena, NY 12548-5107 Ph: (518) 586-6993 | Carl Bevilacqua Iii, 215d Woodcrest Dr Apt 215d, Modena, NY 12548-5107 Ph: (518) 586-6993 |
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