ELIZABETH FUCCILLO
NPI 1326576349
Physician Assistant - Surgical in Burlington, VT

NPI Status: Active since June 03, 2017

Contact Information

789 PINE ST
BURLINGTON, VT
ZIP 05401
Phone: (802) 864-0693
Fax: (802) 860-4324

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  • Individual
  • Female
  • Years of Experience 9
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ELIZABETH FUCCILLO

This page provides the complete NPI Profile along with additional information for Elizabeth Fuccillo, a provider established in Burlington, Vermont with a medical specialization in Physician Assistant, focusing in surgical and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1326576349 assigned on June 2017. The practitioner's primary taxonomy code is 363AS0400X with license number 055.0031603 (VT). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1326576349
Provider Name
ELIZABETH FUCCILLO
Gender
Female
Entity Type
Individual
Location Address
789 PINE ST BURLINGTON, VT 05401
Location Phone
(802) 864-0693
Location Fax
(802) 860-4324
Mailing Address
656 KENT AVE TEANECK, NJ 07666
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
Yes
Enumeration Date
06-03-2017
Last Update Date
11-04-2022
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Location Map

Secondary Locations

  • 617 Riverside Ave
    Burlington, VT 05401
    (800) 028-6463

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
055.0031603
License State
VT

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/30%/9000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2500/30%/10000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/10000 - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/20%/8500 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Elizabeth Fuccillo is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Elizabeth Fuccillo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7911263132

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220916000741

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Elizabeth Fuccillo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE111 COLCHESTER AVE
BURLINGTON, VT 05401
(802) 847-0000Acute Care Hospitals

Reviews for ELIZABETH FUCCILLO

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1326576349, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
2
Doubled → 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 4 + 6 + 1 + 0 + 7 + 1 + 2 + 3 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1326576349.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
789 PINE ST
BURLINGTON, VT 05401
Specialist/Technologist (Athletic Trainer)
789 PINE ST
BURLINGTON, VT 05401
Dentist (General Practice)
789 PINE ST
BURLINGTON, VT 05401
Physician Assistant (Medical)
789 PINE ST
BURLINGTON, VT 05401
Dietetic Technician, Registered
789 PINE ST
BURLINGTON, VT 05401
Physical Therapist
789 PINE ST
BURLINGTON, VT 05401
Family Medicine
789 PINE ST
BURLINGTON, VT 05401
Family Medicine
789 PINE ST
BURLINGTON, VT 05401
Nurse Practitioner (Primary Care)
789 PINE ST
BURLINGTON, VT 05401
Specialist/Technologist (Athletic Trainer)
789 PINE ST
BURLINGTON, VT 05401
Dentist (General Practice)
789 PINE ST
BURLINGTON, VT 05401
Family Medicine
789 PINE ST
BURLINGTON, VT 05401
Specialist/Technologist (Athletic Trainer)
789 PINE ST
BURLINGTON, VT 05401
Counselor (Mental Health)
789 PINE ST
BURLINGTON, VT 05401
Physical Therapist
789 PINE ST
BURLINGTON, VT 05401
Family Medicine
789 PINE ST
BURLINGTON, VT 05401
Nurse Practitioner (Family)
789 PINE ST
BURLINGTON, VT 05401
Nurse Practitioner (Family)
789 PINE ST
BURLINGTON, VT 05401
Nurse Practitioner
789 PINE ST
BURLINGTON, VT 05401
Nurse Practitioner (Psychiatric/Mental Health)
789 PINE ST
BURLINGTON, VT 05401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326576349, enumerated as an "individual" on June 03, 2017.

The provider is located at 789 PINE ST BURLINGTON, VT 05401 and the phone number is (802) 864-0693.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.

Elizabeth Fuccillo is affiliated with: UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE.