| Dominick M Caracciolo, PA-C | |
|
2055 Military Trl, Suite 303, Jupiter, FL 33458-7801 | |
| (561) 427-0860 | |
| (561) 427-0870 |
| Full Name | Dominick M Caracciolo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 2055 Military Trl, Jupiter, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942275870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9102467 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Orthopedics And Pain Management, P.l. | 6002985207 | 6 |
| Cora Health Services Inc | 1759290992 | 1125 |
| Entity Name | Advanced Orthopedics and Pain Management, P.L. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285810838 PECOS PAC ID: 6002985207 Enrollment ID: O20080617000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominick M Caracciolo, PA-C 2055 Military Trl, Suite 303, Jupiter, FL 33458-7801 Ph: (561) 427-0860 | Dominick M Caracciolo, PA-C 2055 Military Trl, Suite 303, Jupiter, FL 33458-7801 Ph: (561) 427-0860 |
Kevin Tyler Shope, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5430 Military Trl Ste 64, Jupiter, FL 33458 Phone: 561-263-7010 |
Eliana Karr, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Heritage Dr Ste 150, Jupiter, FL 33458 Phone: 561-954-5511 Fax: 561-658-4650 |
Timothy Davis, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 306 Laurel Oaks Way, Jupiter, FL 33458 Phone: 561-309-8124 |
Luciana V Kremser, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 S Old Dixie Hwy, Jupiter, FL 33458 Phone: 561-263-4460 |
Susan M Garrison, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18907 Se Loxahatchee River Rd, Jupiter, FL 33458 Phone: 561-748-2889 Fax: 561-748-1523 |
Ms. Tatiana Alexandra Chandler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1335 W Indiantown Rd, Jupiter, FL 33458 Phone: 561-263-7010 |
Mrs. Sheena L. Urdaz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1094 Military Trl, Jupiter, FL 33458 Phone: 561-622-6111 Fax: 855-215-9930 |