Michael J Dallolio, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Gainesville, Florida. His current practice location is
3939 Sw 13th St, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 265-5549.
Michael J Dallolio is licensed to practice in Florida (license number 39314) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972531226.
Physician's Profile
| Full Name | Michael J Dallolio |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 3939 Sw 13th St, Gainesville, Florida |
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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: 1972531226
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 06/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4385600295
- Enrollment ID: I20241101003504
Medical Identifiers
Medical identifiers for Michael J Dallolio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972531226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 10814 (North Dakota) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 10814 (North Dakota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 39314 (Florida) | Primary |
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. Michael J Dallolio 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 |
Michael J Dallolio, MD 4001 Sw 13th St, Gainesville, FL 32608-3513 Ph: (352) 265-5549 | Michael J Dallolio, MD 3939 Sw 13th St, Gainesville, FL 32608-3511 Ph: (352) 265-5549 |
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