Alison J Disciullo, MD in Baltimore, MD - Medicare Student in an Organized Health Care Education/Training Program

Alison J Disciullo, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Baltimore, Maryland. Her current practice location is 22 S Greene St Dept Of, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 328-8667.

Alison J Disciullo is licensed to practice in * (Not Available) (license number ) 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 1730684259.

Contact Information

	Alison J Disciullo, MD
	22 S Greene St Dept Of, Baltimore, MD 21201-1544
	(410) 328-8667
	Not Available

Physician's Profile

Full Name	Alison J Disciullo
Gender	Female
Speciality	Student In An Organized Health Care Education/training Program
Location	22 S Greene St Dept Of, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730684259
Provider Enumeration Date: 03/27/2018
Last Update Date: 06/27/2022

Medicare PECOS Information:

PECOS PAC ID: 0042693343
Enrollment ID: I20220819000416

Medical Identifiers

Medical identifiers for Alison J Disciullo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730684259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MTL004793 (District Of Columbia)	Secondary
207V00000X	Obstetrics & Gynecology	0116031847 (Virginia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Alison J Disciullo 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
Alison J Disciullo, MD 22 S Greene St Dept Of, Baltimore, MD 21201-1544 Ph: (410) 328-8667	Alison J Disciullo, MD 22 S Greene St Dept Of, Baltimore, MD 21201-1544 Ph: (410) 328-8667

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Alison J Disciullo, MD - Medicare Student in an Organized Health Care Education/Training Program in Baltimore, MD