Dr Elisa Coccimiglio, MD is a medicare enrolled "Family Medicine" physician in Blissfield, Michigan. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Promedica Central Corporation Of Michigan and her current practice location is
157 W Brooke Ln, Blissfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 486-2411.
Dr Elisa Coccimiglio is licensed to practice in Michigan (license number 4301115137) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609369214.
Physician's Profile
| Full Name | Dr Elisa Coccimiglio |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 8 Years |
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| Location | 157 W Brooke Ln, Blissfield, Michigan |
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| Accepts Medicare Assignments | Yes. She 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 Elisa Coccimiglio graduated from medical school in 2017
NPI Data:
- NPI Number: 1609369214
- Provider Enumeration Date: 06/08/2018
- Last Update Date: 11/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052665650
- Enrollment ID: I20210712001934
Medical Identifiers
Medical identifiers for Dr Elisa Coccimiglio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609369214 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4301115137 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Promedica Central Corporation Of Michigan | 7012902265 | 109 |
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 Elisa Coccimiglio allows following entities to bill medicare on her behalf.
| Entity Name | Promedica Central Corporation Of Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588624696
PECOS PAC ID: 7012902265
Enrollment ID: O20040416001163 |
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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 Elisa Coccimiglio 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 Elisa Coccimiglio, MD
333 N Summit St Fl 7,
Toledo, OH 43604-1531
Ph: (517) 486-2411 | Dr Elisa Coccimiglio, MD
157 W Brooke Ln,
Blissfield, MI 49228-8601
Ph: (517) 486-2411 |
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