Ms Maxine Ceraolo, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Port Angeles, Washington. She graduated from medical school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Olympic Healthcare Network and her current practice location is
933 E 1st St, Port Angeles, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 452-7891.
Ms Maxine Ceraolo is licensed to practice in Washington (license number AP61167344) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043808405.
Healthcare Provider's Profile
| Full Name | Ms Maxine Ceraolo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 933 E 1st St, Port Angeles, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Maxine Ceraolo graduated from medical school in 2021
NPI Data:
- NPI Number: 1043808405
- Provider Enumeration Date: 12/31/2020
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 9638559776
- Enrollment ID: I20220706003549
Medical Identifiers
Medical identifiers for Ms Maxine Ceraolo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043808405 | NPI | - | NPPES |
| 2211667 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | AP61167344 (Washington) | Secondary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 417174 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61167344 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| North Olympic Healthcare Network | 3779895396 | 32 |
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. Ms Maxine Ceraolo allows following entities to bill medicare on her behalf.
| Entity Name | North Olympic Healthcare Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154702264
PECOS PAC ID: 3779895396
Enrollment ID: O20150827003168 |
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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. Ms Maxine Ceraolo 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 |
|---|
Ms Maxine Ceraolo, ARNP
240 W Front St Ste A,
Port Angeles, WA 98362-2609
Ph: (360) 452-7891 | Ms Maxine Ceraolo, ARNP
933 E 1st St,
Port Angeles, WA 98362-4012
Ph: (360) 452-7891 |
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