Dr Colette Tara D'altilio, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lighthouse Point, Florida. She went to New York College Of Podiatric Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Podiatry. Her current practice location is
2100 E Sample Rd, Suite 203, Lighthouse Point, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 933-9033.
Dr Colette Tara D'altilio is licensed to practice in Florida (license number PO 3030) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740251008.
Healthcare Provider's Profile
| Full Name | Dr Colette Tara D'altilio |
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| Gender | Female |
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| Speciality | Podiatry |
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| Experience | 24 Years |
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| Location | 2100 E Sample Rd, Lighthouse Point, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Colette Tara D'altilio attended and graduated from New York College Of Podiatric Medicine in 2000
NPI Data:
- NPI Number: 1740251008
- Provider Enumeration Date: 01/26/2006
- Last Update Date: 07/08/2011
Medicare PECOS Information:
- PECOS PAC ID: 9436110574
- Enrollment ID: I20041025000707
Medical Identifiers
Medical identifiers for Dr Colette Tara D'altilio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740251008 | NPI | - | NPPES |
| 3405150-00 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | PO 3030 (Florida) | Primary |
Medical Facilities Affiliation
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 Colette Tara D'altilio allows following entities to bill medicare on her behalf.
| Provider Name | Lighthouse Foot & Ankle Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508056326
PECOS PAC ID: 0547221673
Enrollment ID: O20041022000203 |
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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 Colette Tara D'altilio 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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Dr Colette Tara D'altilio, DPM
2100 E Sample Rd, Suite 203,
Lighthouse Point, FL 33064-7596
Ph: (954) 933-9033 | Dr Colette Tara D'altilio, DPM
2100 E Sample Rd, Suite 203,
Lighthouse Point, FL 33064-7574
Ph: (954) 933-9033 |
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