Dr James A Cancilleri, DPM is a medicare enrolled "Podiatrist - Foot Surgery" provider in Northfield, New Jersey. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Gary A Raymond Dpm Pc and his current practice location is
1601 Tilton Rd, Northfield, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 241-8664.
Dr James A Cancilleri is licensed to practice in New Jersey (license number MD001971NJ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275535171.
Healthcare Provider's Profile
| Full Name | Dr James A Cancilleri |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 35 Years |
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| Location | 1601 Tilton Rd, Northfield, New Jersey |
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| Accepts Medicare Assignments | Yes. He 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 James A Cancilleri graduated from medical school in 1989
NPI Data:
- NPI Number: 1275535171
- Provider Enumeration Date: 08/11/2005
- Last Update Date: 09/29/2014
Medicare PECOS Information:
- PECOS PAC ID: 4981728466
- Enrollment ID: I20121012000242
Medical Identifiers
Medical identifiers for Dr James A Cancilleri such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275535171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0131X | Podiatrist - Foot Surgery | MD001971NJ (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gary A Raymond Dpm Pc | 4587553607 | 6 |
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 James A Cancilleri allows following entities to bill medicare on his behalf.
| Provider Name | Gary A Raymond Dpm Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1568400521
PECOS PAC ID: 4587553607
Enrollment ID: O20040315000864 |
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| Provider Name | Brandywine Family Foot Care Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275546871
PECOS PAC ID: 9537243563
Enrollment ID: O20080228000416 |
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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 James A Cancilleri 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 James A Cancilleri, DPM
22 N Franklin Blvd,
Pleasantville, NJ 08232-2547
Ph: (609) 272-0655 | Dr James A Cancilleri, DPM
1601 Tilton Rd,
Northfield, NJ 08225-1877
Ph: (609) 241-8664 |
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