Caitlin Azzarello Dakermandji, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Winston Salem, North Carolina. Her current practice location is
One Medical Center Blvd, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(336) 716-4625.
Caitlin Azzarello Dakermandji is licensed to practice in North Carolina (license number ) 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 1295129377.
Provider's Profile
Full Name | Caitlin Azzarello Dakermandji |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | One Medical Center Blvd, Winston Salem, North Carolina |
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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: 1295129377
- Provider Enumeration Date: 03/26/2015
- Last Update Date: 05/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103147657
- Enrollment ID: I20220801000435
Medical Identifiers
Medical identifiers for Caitlin Azzarello Dakermandji such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295129377 | NPI | - | NPPES |
NPI # | Other | SC | TRICARE (AFFILIATION ONLY) |
NPI # | Other | SC | BLUE CROSS |
NPI # | Other | SC | BLUE CHOICE, COMMERCIAL & MEDICAID |
2138PA | Medicaid | SC | |
003160448A | Medicaid | GA | |
1068956 | Other | SC | WELLCARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2278 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (North Carolina) | 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. Caitlin Azzarello Dakermandji 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 |
Caitlin Azzarello Dakermandji, DO One Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-4625 | Caitlin Azzarello Dakermandji, DO One Medical Center Blvd, Winston Salem, NC 27157-5708 Ph: (336) 716-4625 |
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