Christopher Casaccio, DO is a medicare enrolled "Hospitalist" physician in Wpafb, Ohio. His current practice location is
88 Mdg/sghj 4881 Sugar Maple Dr., Wpafb, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 257-9926.
Christopher Casaccio is licensed to practice in Ohio (license number 34.015990) 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 1124581145.
Physician's Profile
| Full Name | Christopher Casaccio |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 88 Mdg/sghj 4881 Sugar Maple Dr., Wpafb, Ohio |
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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: 1124581145
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 03/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385978345
- Enrollment ID: I20230517001994
Medical Identifiers
Medical identifiers for Christopher Casaccio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124581145 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 34.015990 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 34.015990 (Ohio) | 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. Christopher Casaccio allows following entities to bill medicare on his behalf.
| Entity Name | Kettering Independent Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629387865
PECOS PAC ID: 3173710936
Enrollment ID: O20101207000425 |
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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. Christopher Casaccio 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 |
|---|
Christopher Casaccio, DO
4881 Sugar Maple Dr,
Wpafb, OH 45433-5529
Ph: (937) 257-9926 | Christopher Casaccio, DO
88 Mdg/sghj 4881 Sugar Maple Dr.,
Wpafb, OH 45433-5529
Ph: (937) 257-9926 |
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