Elizabeth R Cirillo, CNM is a medicare enrolled "Advanced Practice Midwife" in Fort Thomas, Kentucky. Her current practice location is
1400 Grand Ave, Fort Thomas, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 491-2855.
Elizabeth R Cirillo is licensed to practice in Kentucky (license number 4017717) 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 1679227300.
Provider's Profile
| Full Name | Elizabeth R Cirillo |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1400 Grand Ave, Fort Thomas, Kentucky |
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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: 1679227300
- Provider Enumeration Date: 02/10/2022
- Last Update Date: 08/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183164452
- Enrollment ID: I20240912004232
Medical Identifiers
Medical identifiers for Elizabeth R Cirillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679227300 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | APRN.CNM.0019482 (Ohio) | Secondary |
| 367A00000X | Advanced Practice Midwife | 4017717 (Kentucky) | 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. Elizabeth R Cirillo allows following entities to bill medicare on her behalf.
| Entity Name | Summit Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738 |
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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. Elizabeth R Cirillo 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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Elizabeth R Cirillo, CNM
460 Fairview Pl,
Cincinnati, OH 45219-1118
Ph: (513) 482-1865 | Elizabeth R Cirillo, CNM
1400 Grand Ave,
Fort Thomas, KY 41071-2570
Ph: (859) 491-2855 |
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