Alexandria Rose Ceravolo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Southfields, New York. Her current practice location is
1208 Parkview Dr, Southfields, New York. You can reach out to her office (for appointments etc.) via phone at
(646) 258-2075.
Alexandria Rose Ceravolo is licensed to practice in New York (license number 095411) 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 1609472109.
Healthcare Provider's Profile
| Full Name | Alexandria Rose Ceravolo |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1208 Parkview Dr, Southfields, New York |
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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: 1609472109
- Provider Enumeration Date: 12/09/2020
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648795328
- Enrollment ID: I20250415002013
Medical Identifiers
Medical identifiers for Alexandria Rose Ceravolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609472109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 44SC06391800 (New Jersey) | Secondary |
| 1041C0700X | Social Worker - Clinical | 108390 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 095411 (New York) | 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. Alexandria Rose Ceravolo allows following entities to bill medicare on her behalf.
| Entity Name | Moona Medical Group Of New Jersey Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609685007
PECOS PAC ID: 9133643976
Enrollment ID: O20250414001784 |
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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. Alexandria Rose Ceravolo 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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Alexandria Rose Ceravolo, LCSW
309 Summit Ave,
Jersey City, NJ 07306-2416
Ph: (646) 258-2075 | Alexandria Rose Ceravolo, LCSW
1208 Parkview Dr,
Southfields, NY 10975-2636
Ph: (646) 258-2075 |
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