Dr Kelly Ruth Magliocca, DDS is a medicare enrolled "Pathology - Clinical Pathology" provider in Madison, Wisconsin. She went to University Of Michigan School Of Dentistry and graduated in 1998 and has 28 years of diverse experience with area of expertise as Oral And Maxillofacial Pathology. She is a member of the group practice The Emory Clinic Inc and her current practice location is
2500 Overlook Terrace, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 280-7000.
Dr Kelly Ruth Magliocca is licensed to practice in Georgia (license number DN015812) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225131162.
Healthcare Provider's Profile
| Full Name | Dr Kelly Ruth Magliocca |
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| Gender | Female |
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| Speciality | Oral And Maxillofacial Pathology |
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| Experience | 28 Years |
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| Location | 2500 Overlook Terrace, Madison, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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 Kelly Ruth Magliocca attended and graduated from University Of Michigan School Of Dentistry in 1998
NPI Data:
- NPI Number: 1225131162
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 05/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 7214825256
- Enrollment ID: I20111024000703
Medical Identifiers
Medical identifiers for Dr Kelly Ruth Magliocca such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225131162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN015812 (Georgia) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5689-15 (Wisconsin) | Secondary |
| 207ZC0006X | Pathology - Clinical Pathology | DN015812 (Georgia) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2901017624 (Michigan) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Emory Clinic Inc | 8820901408 | 3505 |
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 Kelly Ruth Magliocca allows following entities to bill medicare on her behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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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 Kelly Ruth Magliocca 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 Kelly Ruth Magliocca, DDS
2500 Overlook Ter,
Madison, WI 53705-2254
Ph: () - | Dr Kelly Ruth Magliocca, DDS
2500 Overlook Terrace,
Madison, WI 53705-2286
Ph: (608) 280-7000 |
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