Elly Landolfi, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Grosse Pointe, Michigan. Her current practice location is
468 Cadieux Rd, Grosse Pointe, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 473-1615.
Elly Landolfi is licensed to practice in Michigan (license number 4301095115) 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 1659501559.
Physician's Profile
| Full Name | Elly Landolfi |
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| Gender | Female |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 468 Cadieux Rd, Grosse Pointe, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659501559
- Provider Enumeration Date: 07/26/2009
- Last Update Date: 07/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284875675
- Enrollment ID: I20170804000179
Medical Identifiers
Medical identifiers for Elly Landolfi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659501559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301095115 (Michigan) | 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. Elly Landolfi allows following entities to bill medicare on her behalf.
| Entity Name | Mclaren Health Management Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912072349 PECOS PAC ID: 8628985215 Enrollment ID: O20040617000043 |
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| Entity Name | Pathology Specialists Of Southeast Michigan Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023100500 PECOS PAC ID: 6608848130 Enrollment ID: O20040806000310 |
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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. Elly Landolfi 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 |
Elly Landolfi, MD 15455 Lakeside Village Dr, Apt 103, Clinton Twp, MI 48038-3539 Ph: (248) 701-5380 | Elly Landolfi, MD 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 Ph: (313) 473-1615 |
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