Cassandra Lynn Puccinelli, MD in Oakland, CA

Cassandra Lynn Puccinelli, MD is a medicare enrolled "Otolaryngology" physician in Oakland, California. Her current practice location is 3600 Broadway, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 752-1115.

Cassandra Lynn Puccinelli is licensed to practice in Nebraska (license number 33743) 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 1528448958.

Contact Information

	Cassandra Lynn Puccinelli, MD
	3600 Broadway, Oakland, CA 94611-5730
	(510) 752-1115
	Not Available

Map and Direction

Physician's Profile

Full Name	Cassandra Lynn Puccinelli
Gender	Female
Speciality	Otolaryngology
Location	3600 Broadway, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528448958
Provider Enumeration Date: 06/01/2015
Last Update Date: 07/30/2024

Medicare PECOS Information:

PECOS PAC ID: 0042522948
Enrollment ID: I20200702001294

Medical Identifiers

Medical identifiers for Cassandra Lynn Puccinelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528448958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	A168750 (California)	Secondary
207Y00000X	Otolaryngology	60867 (Minnesota)	Secondary
207Y00000X	Otolaryngology	33743 (Nebraska)	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. Cassandra Lynn Puccinelli allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Northbay Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Cassandra Lynn Puccinelli 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
Cassandra Lynn Puccinelli, MD 3600 Broadway Fl 4, Oakland, CA 94611-5730 Ph: () -	Cassandra Lynn Puccinelli, MD 3600 Broadway, Oakland, CA 94611-5730 Ph: (510) 752-1115

Reviews and Comments

Otolaryngology Doctors in Oakland, CA

Bon B. Hartline, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
Dr. Ji-eon Kim, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-6400
Raul M. Cruz, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Luke J. Schloegel, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 275 W Macarthur Blvd, Oakland, CA 94611 Phone: 510-752-1000
William Beck Lewis, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2961 Summit St, Suite 1, Oakland, CA 94609 Phone: 510-465-0941 Fax: 510-465-0941
Joel C Ross, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 411 30th St Ste 403, Oakland, CA 94609 Phone: 510-724-6662 Fax: 510-724-1923
Dr. Bernard J. Drury, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2961 Summit St, Suite 1, Oakland, CA 94609 Phone: 510-465-0941 Fax: 510-465-0941

Cassandra Lynn Puccinelli, MD - Medicare Otolaryngology in Oakland, CA