Olivia Mary D'angelo, MD is a medicare enrolled "Surgery" physician in Bartow, Florida. Her current practice location is
2000 Osprey Blvd Ste 205, Bartow, Florida. You can reach out to her office (for appointments etc.) via phone at
(863) 519-1799.
Olivia Mary D'angelo is licensed to practice in Georgia (license number 103445) 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 1356846927.
Physician's Profile
Full Name | Olivia Mary D'angelo |
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Gender | Female |
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Speciality | Surgery |
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Location | 2000 Osprey Blvd Ste 205, Bartow, 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: 1356846927
- Provider Enumeration Date: 03/27/2018
- Last Update Date: 04/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 9133570351
- Enrollment ID: I20240620000658
Medical Identifiers
Medical identifiers for Olivia Mary D'angelo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356846927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | ME166917 (Florida) | Secondary |
208600000X | Surgery | 103445 (Georgia) | 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. Olivia Mary D'angelo allows following entities to bill medicare on her behalf.
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
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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. Olivia Mary D'angelo 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 |
Olivia Mary D'angelo, MD 6527 Eagle Ridge Way, Lakeland, FL 33813-5684 Ph: () - | Olivia Mary D'angelo, MD 2000 Osprey Blvd Ste 205, Bartow, FL 33830-4347 Ph: (863) 519-1799 |
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