Dr Michael C Dicello, MD in Bozeman, MT - Medicare Allergy/immunology

Dr Michael C Dicello, MD is a medicare enrolled "Allergy & Immunology" physician in Bozeman, Montana. He went to Ohio State University College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Equanimity Health Care Pc and his current practice location is 1188 N 15th Ave Ste 3, Bozeman, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 582-1111.

Dr Michael C Dicello is licensed to practice in Montana (license number 11976) 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 1720083173.

Contact Information

	Dr Michael C Dicello, MD
	1188 N 15th Ave Ste 3, Bozeman, MT 59715-3290
	(406) 582-1111
	(406) 582-1112

Map and Direction

Physician's Profile

Full Name	Dr Michael C Dicello
Gender	Male
Speciality	Allergy/immunology
Experience	30 Years
Location	1188 N 15th Ave Ste 3, Bozeman, Montana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Michael C Dicello attended and graduated from Ohio State University College Of Medicine in 1994

NPI Data:

NPI Number: 1720083173
Provider Enumeration Date: 06/14/2005
Last Update Date: 07/28/2023

Medicare PECOS Information:

PECOS PAC ID: 8729130943
Enrollment ID: I20090720000473

Medical Identifiers

Medical identifiers for Dr Michael C Dicello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720083173	NPI	-	NPPES
01961568	Medicaid	NY
96G431	Other	NY	BCBS NORTHEAST NEW YORK
0VN1993	Medicaid	VT
7525992-001	Other	VT	CIGNA
03V100	Other	VT	MVP
48079	Other	VT	BLUE CROSS BLUE SHIELD VT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	42-000-9879 (Vermont)	Secondary
207K00000X	Allergy & Immunology	11976 (Montana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bozeman Health Deaconess Hospital	Bozeman, MT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Equanimity Health Care Pc	2365614369	2

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 Michael C Dicello allows following entities to bill medicare on his behalf.

Entity Name	Equanimity Health Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356637656 PECOS PAC ID: 2365614369 Enrollment ID: O20111018000254

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 Michael C Dicello 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 Michael C Dicello, MD 1188 N 15th Ave Ste 3, Bozeman, MT 59715-3290 Ph: (406) 582-1111	Dr Michael C Dicello, MD 1188 N 15th Ave Ste 3, Bozeman, MT 59715-3290 Ph: (406) 582-1111

Reviews and Comments

Allergy & Immunology Doctors in Bozeman, MT

Dr. Michael C Zacharisen, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 4265 Fallon St Ste 3a, Bozeman, MT 59718 Phone: 406-451-7017 Fax: 406-451-7020
Alan A Wanderer, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2055 N 22nd Ave, Ste 1, Bozeman, MT 59718 Phone: 406-582-1111 Fax: 406-582-1112

Dr Michael C Dicello, MD - Medicare Allergy/immunology in Bozeman, MT