Dr Michael A Fallucco, MD - Medicare Plastic And Reconstructive Surgery in Jacksonville, FL

Dr Michael A Fallucco, MD is a medicare enrolled "Plastic Surgery - Plastic Surgery Within The Head And Neck" physician in Jacksonville, Florida. He went to Vanderbilt University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice North Florida Surgeons Pa and his current practice location is 14540 Old Saint Augustine Rd, Suite 2391, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 262-3372.

Dr Michael A Fallucco is licensed to practice in Florida (license number ME109463) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851594436.

Contact Information

Dr Michael A Fallucco, MD
14540 Old Saint Augustine Rd, Suite 2391,
Jacksonville, FL 32258-7418
(904) 262-3372
(904) 262-3306



Physician's Profile

Full NameDr Michael A Fallucco
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience19 Years
Location14540 Old Saint Augustine Rd, Jacksonville, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael A Fallucco attended and graduated from Vanderbilt University School Of Medicine in 2005
  NPI Data:
  • NPI Number: 1851594436
  • Provider Enumeration Date: 06/08/2007
  • Last Update Date: 04/11/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1254465172
  • Enrollment ID: I20110519000522

Medical Identifiers

Medical identifiers for Dr Michael A Fallucco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851594436NPI-NPPES
14C77OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2082S0099XPlastic Surgery - Plastic Surgery Within The Head And Neck ME109463 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension St Vincent's RiversideJacksonville, FLHospital
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Florida Surgeons Pa2769381391223

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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. Dr Michael A Fallucco allows following entities to bill medicare on his behalf.
Entity NameNorth Florida Surgeons Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912953290
PECOS PAC ID: 2769381391
Enrollment ID: O20040102000629

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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. Dr Michael A Fallucco 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 AddressPractice Location Address
Dr Michael A Fallucco, MD
11945 San Jose Blvd, Bldg. 300,
Jacksonville, FL 32223-1627

Ph: (904) 396-1725
Dr Michael A Fallucco, MD
14540 Old Saint Augustine Rd, Suite 2391,
Jacksonville, FL 32258-7418

Ph: (904) 262-3372

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Plastic Surgery Doctors in Jacksonville, FL

John Murray, M.D.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4555 Emerson St, Suite 230, Jacksonville, FL 32207
Phone: 904-633-0130    Fax: 904-633-0131
Sarvam Terkonda, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Mohamad Reza Samiian, MD PA
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4221 Southpoint Pkwy, Jacksonville, FL 32216
Phone: 904-296-2810    Fax: 904-296-3424
David Colton Riley, MD
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Miss Kathleen R Renner, A.P.R.N.
Plastic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4147 Southpoint Dr East, Optional, Jacksonville, FL 32216
Phone: 904-332-6774    Fax: 904-661-0028
Peter Matthew Granger,
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
James Waldorf, MD
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

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