Dr Michael C Dicello, MD is a medicare enrolled "Allergy & Immunology" physician in Bozeman, Montana. He went to Ohio State University College Of Medicine and graduated in 1994 and has 32 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Equanimity Health Care Pc, Livingston Healthcare and his current practice location is
1188 N 15th Ave Ste 3, Bozeman, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 582-1111.
Dr Michael C Dicello is licensed to practice in Montana (license number 11976) 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 1720083173.
Physician's Profile
| Full Name | Dr Michael C Dicello |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 32 Years |
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| Location | 1188 N 15th Ave Ste 3, Bozeman, Montana |
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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 Michael C Dicello attended and graduated from Ohio State University College Of Medicine in 1994
NPI Data:
- NPI Number: 1720083173
- Provider Enumeration Date: 06/14/2005
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 8729130943
- Enrollment ID: I20090720000473
Medical Identifiers
Medical identifiers for Dr Michael C Dicello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1720083173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 42-000-9879 (Vermont) | Secondary |
| 207K00000X | Allergy & Immunology | 11976 (Montana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Equanimity Health Care Pc | 2365614369 | 2 |
| Livingston Healthcare | 5991613598 | 66 |
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 Michael C Dicello allows following entities to bill medicare on his behalf.
| Entity Name | Equanimity Health Care PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356637656
PECOS PAC ID: 2365614369
Enrollment ID: O20111018000254 |
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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 Michael C Dicello 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 Michael C Dicello, MD
1188 N 15th Ave Ste 3,
Bozeman, MT 59715-3290
Ph: (406) 582-1111 | Dr Michael C Dicello, MD
1188 N 15th Ave Ste 3,
Bozeman, MT 59715-3290
Ph: (406) 582-1111 |
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