Agnes Digiacomo, is a medicare enrolled "Audiologist" provider in Southport, Connecticut. Her current practice location is
2600 Post Rd, Southport, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 256-3338.
Agnes Digiacomo is licensed to practice in Connecticut (license number 000467) 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 1205877057.
Healthcare Provider's Profile
| Full Name | Agnes Digiacomo |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 2600 Post Rd, Southport, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205877057
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 01/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608803903
- Enrollment ID: I20220207000161
Medical Identifiers
Medical identifiers for Agnes Digiacomo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205877057 | NPI | - | NPPES |
| 7121300 | Medicaid | NJ | |
| 000467 | Other | CT | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 231H00000X | Audiologist | 41YA00061000 (New Jersey) | Secondary |
| 231H00000X | Audiologist | 000467 (Connecticut) | 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. Agnes Digiacomo allows following entities to bill medicare on her behalf.
| Provider Name | Ear, Nose & Throat Center, Llp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1396925053 PECOS PAC ID: 5890842223 Enrollment ID: O20090422000030 |
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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. Agnes Digiacomo 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 |
Agnes Digiacomo, 2600 Post Rd, Southport, CT 06890-1258 Ph: (203) 256-3338 | Agnes Digiacomo, 2600 Post Rd, Southport, CT 06890-1258 Ph: (203) 256-3338 |
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