Dr Roseann Marie Rupp-maiolatesi, OD is a medicare enrolled "Optometrist" provider in Olyphant, Pennsylvania. Her current practice location is
117 Lackawanna Ave, Olyphant, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 383-9601.
Dr Roseann Marie Rupp-maiolatesi is licensed to practice in Pennsylvania (license number OE-007219-T) 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 1972650943.
Healthcare Provider's Profile
| Full Name | Dr Roseann Marie Rupp-maiolatesi |
|---|
| Gender | Female |
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| Speciality | Optometrist |
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| Location | 117 Lackawanna Ave, Olyphant, Pennsylvania |
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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: 1972650943
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567638109
- Enrollment ID: I20120103000026
Medical Identifiers
Medical identifiers for Dr Roseann Marie Rupp-maiolatesi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972650943 | NPI | - | NPPES |
| 22504 | Other | PA | GEISINGER |
| 075223 | Other | PA | FIRST PRIORITY HEALTH |
| 396606 | Other | PA | NVA |
| 736553 | Other | PA | US HEALTH CARE |
| 0014136220003 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OE-007219-T (Pennsylvania) | 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. Dr Roseann Marie Rupp-maiolatesi allows following entities to bill medicare on her behalf.
| Provider Name | Icu2inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003961723
PECOS PAC ID: 2668560624
Enrollment ID: O20071109000009 |
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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. Dr Roseann Marie Rupp-maiolatesi 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 |
|---|
Dr Roseann Marie Rupp-maiolatesi, OD
42 Spring St,
Carbondale, PA 18407-2027
Ph: (570) 281-3332 | Dr Roseann Marie Rupp-maiolatesi, OD
117 Lackawanna Ave,
Olyphant, PA 18447-1449
Ph: (570) 383-9601 |
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