Dr Jerome Matthew Guanciale, DO is a medicare enrolled "Surgery" physician in Wahpeton, North Dakota. He graduated from medical school in 1986 and has 39 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Sanford Medical Center Fargo, Sanford Medical Center Fargo and his current practice location is
332 2nd Ave N, Wahpeton, North Dakota. You can reach out to his office (for appointments etc.) via phone at
(701) 642-7000.
Dr Jerome Matthew Guanciale is licensed to practice in North Dakota (license number 17750) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851355366.
Physician's Profile
| Full Name | Dr Jerome Matthew Guanciale |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 39 Years |
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| Location | 332 2nd Ave N, Wahpeton, North Dakota |
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| Accepts Medicare Assignments | Yes. He 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 Jerome Matthew Guanciale graduated from medical school in 1986
NPI Data:
- NPI Number: 1851355366
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 04/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395705438
- Enrollment ID: I20220324002290
Medical Identifiers
Medical identifiers for Dr Jerome Matthew Guanciale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851355366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 70737 (Minnesota) | Secondary |
| 208600000X | Surgery | 0393 (South Carolina) | Secondary |
| 208600000X | Surgery | DO2175 (Nevada) | Secondary |
| 208600000X | Surgery | 17750 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sanford Medical Center Fargo | 8426967803 | 1125 |
| Sanford Medical Center Fargo | 8426967803 | 1125 |
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 Jerome Matthew Guanciale allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Medical Center Fargo |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031 |
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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 Jerome Matthew Guanciale 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 |
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Dr Jerome Matthew Guanciale, DO
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-6585 | Dr Jerome Matthew Guanciale, DO
332 2nd Ave N,
Wahpeton, ND 58075-4528
Ph: (701) 642-7000 |
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