Dr Carmen C Capodanno, MD is a medicare enrolled "Dermatology" physician in San Pedro, California. His current practice location is
1360 W 6th St, Ste 270, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at
(310) 831-1272.
Dr Carmen C Capodanno is licensed to practice in California (license number 636220) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821092859.
Physician's Profile
| Full Name | Dr Carmen C Capodanno |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 1360 W 6th St, San Pedro, California |
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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: 1821092859
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820281900
- Enrollment ID: I20101021000419
Medical Identifiers
Medical identifiers for Dr Carmen C Capodanno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821092859 | NPI | - | NPPES |
| 00G362200 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 636220 (California) | 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 Carmen C Capodanno allows following entities to bill medicare on his behalf.
| Entity Name | Csi Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871909804
PECOS PAC ID: 5890916845
Enrollment ID: O20141016001930 |
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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 Carmen C Capodanno 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 Carmen C Capodanno, MD
1360 W 6th St, Ste 270,
San Pedro, CA 90732-3539
Ph: (310) 831-1272 | Dr Carmen C Capodanno, MD
1360 W 6th St, Ste 270,
San Pedro, CA 90732-3539
Ph: (310) 831-1272 |
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