Dr Alessandro Gaetano Cusano, MD, is a medicare enrolled "Plastic Surgery" physician in Healdsburg, California. His current practice location is
145 Foss Creek Cir, Healdsburg, California. You can reach out to his office (for appointments etc.) via phone at
(707) 473-0220.
Dr Alessandro Gaetano Cusano is licensed to practice in California (license number C130958) 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 1164678421.
Physician's Profile
| Full Name | Dr Alessandro Gaetano Cusano |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 145 Foss Creek Cir, Healdsburg, California |
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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: 1164678421
- Provider Enumeration Date: 08/18/2008
- Last Update Date: 01/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 4385702521
- Enrollment ID: I20190215001941
Medical Identifiers
Medical identifiers for Dr Alessandro Gaetano Cusano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164678421 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208200000X | Plastic Surgery | C130958 (California) | Primary |
| 208200000X | Plastic Surgery | 57228 (Arizona) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | ME102291 (Florida) | Secondary |
| 208200000X | Plastic Surgery | 155349 (Florida) | Secondary |
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 Alessandro Gaetano Cusano allows following entities to bill medicare on his behalf.
| Entity Name | Sjhmc Physician Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326098005 PECOS PAC ID: 4486646197 Enrollment ID: O20040401001189 |
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| Entity Name | Phoenix Children's Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
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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 Alessandro Gaetano Cusano 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 Alessandro Gaetano Cusano, MD, 145 Foss Creek Cir, Healdsburg, CA 95448-4288 Ph: (707) 473-0220 | Dr Alessandro Gaetano Cusano, MD, 145 Foss Creek Cir, Healdsburg, CA 95448-4288 Ph: (707) 473-0220 |
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