Fred Patrick Della Jacono, AP,LMT is a medicare enrolled "Chiropractor" provider in Fort Lauderdale, Florida. His current practice location is
3201 Griffin Rd Ste 104, Fort Lauderdale, Florida. You can reach out to his office (for appointments etc.) via phone at
(954) 488-3008.
Fred Patrick Della Jacono is licensed to practice in Florida (license number 14560) 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 1154891026.
Healthcare Provider's Profile
| Full Name | Fred Patrick Della Jacono |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 3201 Griffin Rd Ste 104, Fort Lauderdale, Florida |
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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: 1154891026
- Provider Enumeration Date: 12/04/2018
- Last Update Date: 06/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2062935851
- Enrollment ID: I20250402002154
Medical Identifiers
Medical identifiers for Fred Patrick Della Jacono such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154891026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | 46183 (Florida) | Secondary |
| 171100000X | Acupuncturist | 4006 (Florida) | Secondary |
| 111N00000X | Chiropractor | 14560 (Florida) | 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. Fred Patrick Della Jacono allows following entities to bill medicare on his behalf.
| Provider Name | Floridian Wellness Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1114723541
PECOS PAC ID: 8820511611
Enrollment ID: O20250402002244 |
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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. Fred Patrick Della Jacono 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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Fred Patrick Della Jacono, AP,LMT
2330 Nw 37th Way,
Coconut Creek, FL 33066-2261
Ph: (954) 488-3388 | Fred Patrick Della Jacono, AP,LMT
3201 Griffin Rd Ste 104,
Fort Lauderdale, FL 33312-6900
Ph: (954) 488-3008 |
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