Michelle L Diraddo, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Rochester, New York. Her current practice location is
601 Elmwood Ave, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 275-2647.
Michelle L Diraddo is licensed to practice in New York (license number 382751) 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 1851821060.
Physician's Profile
| Full Name | Michelle L Diraddo |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 601 Elmwood Ave, Rochester, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851821060
- Provider Enumeration Date: 06/20/2017
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 4587937081
- Enrollment ID: I20170905002687
Medical Identifiers
Medical identifiers for Michelle L Diraddo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851821060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 382751 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 328751 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 382751 (New York) | 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. Michelle L Diraddo allows following entities to bill medicare on her behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019 |
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| Entity Name | Pediatric G I Nutrition |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710918305
PECOS PAC ID: 7911972690
Enrollment ID: O20040826001060 |
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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. Michelle L Diraddo 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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Michelle L Diraddo, PNP
601 Elmwood Ave Box 635,
Rochester, NY 14642-0001
Ph: (585) 275-7787 | Michelle L Diraddo, PNP
601 Elmwood Ave,
Rochester, NY 14642-0001
Ph: (585) 275-2647 |
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