Dr Christina Ilse Dinicola, MD - Medicare Pediatrics in Randolph, VT

Dr Christina Ilse Dinicola, MD is a medicare enrolled "Pediatrics" physician in Randolph, Vermont. Her current practice location is 40 S Main St, Randolph, Vermont. You can reach out to her office (for appointments etc.) via phone at (802) 728-2420.

Dr Christina Ilse Dinicola is licensed to practice in Vermont (license number 0420013072) 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 1962670455.

Contact Information

Dr Christina Ilse Dinicola, MD
40 S Main St,
Randolph, VT 05060-1377
(802) 728-2420
(802) 728-2111

Map and Direction




Physician's Profile

Full NameDr Christina Ilse Dinicola
GenderFemale
SpecialityPediatrics
Location40 S Main St, Randolph, Vermont
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1962670455
  • Provider Enumeration Date: 02/18/2008
  • Last Update Date: 09/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4385887033
  • Enrollment ID: I20150320000449

Medical Identifiers

Medical identifiers for Dr Christina Ilse Dinicola such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962670455NPI-NPPES
1024133070001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD426793 (Pennsylvania)Secondary
208000000XPediatrics 0420013072 (Vermont)Primary
208000000XPediatrics 25MA08994900 (New Jersey)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 Christina Ilse Dinicola allows following entities to bill medicare on her behalf.
Entity NameGifford Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942329446
PECOS PAC ID: 4880683663
Enrollment ID: O20040507000460
Entity NameGifford Health Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013269430
PECOS PAC ID: 2668624982
Enrollment ID: O20121213000467

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 Christina Ilse Dinicola 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 AddressPractice Location Address
Dr Christina Ilse Dinicola, MD
Po Box 2000,
Randolph, VT 05060-2000

Ph: (802) 728-7000
Dr Christina Ilse Dinicola, MD
40 S Main St,
Randolph, VT 05060-1377

Ph: (802) 728-2420

Reviews and Comments


Pediatrics Doctors in Randolph, VT

Joseph C Pelletier, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 44 S Main St, Randolph, VT 05060
Phone: 802-728-2420    Fax: 802-728-2394
Devin Alexander, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 44 S Main St, Randolph, VT 05060
Phone: 802-728-2420    
Louis A. Dinicola, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 44 S Main St, Randolph, VT 05060
Phone: 802-728-2420    Fax: 802-728-2613
Elizabeth H. Jewett, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 44 S Main St, Randolph, VT 05060
Phone: 802-728-2420    Fax: 802-728-2613
Rebecca Elizabeth Kincaid, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 40 S Main St, Randolph, VT 05060
Phone: 802-728-2420    Fax: 802-728-2111

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.