Prof Michael C Vacco, MD - Medicare Pediatrics in Big Stone Gap, VA

Prof Michael C Vacco, MD is a medicare enrolled "Pediatrics" physician in Big Stone Gap, Virginia. His current practice location is 1980 Holton Ave E, Suite 203, Big Stone Gap, Virginia. You can reach out to his office (for appointments etc.) via phone at (276) 523-8681.

Prof Michael C Vacco is licensed to practice in Virginia (license number 0101237952) 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 1447222922.

Contact Information

Prof Michael C Vacco, MD
1980 Holton Ave E, Suite 203,
Big Stone Gap, VA 24219-3366
(276) 523-8681
(276) 523-8684



Physician's Profile

Full NameProf Michael C Vacco
GenderMale
SpecialityPediatrics
Location1980 Holton Ave E, Big Stone Gap, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447222922
  • Provider Enumeration Date: 02/07/2006
  • Last Update Date: 07/27/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6406891803
  • Enrollment ID: I20050627000427

Medical Identifiers

Medical identifiers for Prof Michael C Vacco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447222922NPI-NPPES
010157617MedicaidVA
64103930MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0101237952 (Virginia)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. Prof Michael C Vacco allows following entities to bill medicare on his behalf.
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174808216
PECOS PAC ID: 8123291739
Enrollment ID: O20120627000467

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Entity NameClinch Valley Physicians Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104265214
PECOS PAC ID: 9133146111
Enrollment ID: O20130821001053

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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. Prof Michael C Vacco 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
Prof Michael C Vacco, MD
999 Executive Park Blvd, Suite 201,
Kingsport, TN 37660-4632

Ph: (423) 224-3250
Prof Michael C Vacco, MD
1980 Holton Ave E, Suite 203,
Big Stone Gap, VA 24219-3366

Ph: (276) 523-8681

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Pediatrics Doctors in Big Stone Gap, VA

Dr. Rhonda Kincaid Bass, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3169 2nd Avenue East, Big Stone Gap, VA 24219
Phone: 276-523-8300    
Bernard Manatu, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 320 Cloverleaf Sq, Bldg D3, Big Stone Gap, VA 24219
Phone: 276-524-1785    Fax: 276-524-1787

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