DR. PHILIP FLEMMING PACELLI III MD DMD
NPI 1699890723
Oral & Maxillofacial Surgery in New Canaan, CT
NPI Status: Active since March 20, 2007
Contact Information
166 CHERRY STREET
SUITE A
NEW CANAAN, CT
ZIP 06840
Phone: (203) 972-1581
Fax: (203) 972-1980
- Individual
- Male
- Years of Experience 34
- Oral & Maxillofacial Surgery
- May Accept Medicare Approved Payment
- PECOS Enrolled
- Opted-Out Medicare
About PHILIP PACELLI
This page provides the complete NPI Profile along with additional information for Philip Pacelli, a provider established in New Canaan, Connecticut with a medical specialization in Oral & Maxillofacial Surgery and more than 34 years of experience. He graduated from Hahnemann University College Of Medicine in 1992. The healthcare provider is registered in the NPI registry with number 1699890723 assigned on March 2007. The practitioner's primary taxonomy code is 204E00000X with license number 007900 (CT). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1699890723
- Provider Name
- DR. PHILIP FLEMMING PACELLI III MD DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 166 CHERRY STREET SUITE A NEW CANAAN, CT 06840
- Location Phone
- (203) 972-1581
- Location Fax
- (203) 972-1980
- Mailing Address
- 166 CHERRY STREET SUITE A NEW CANAAN, CT 06840
- Mailing Phone
- (203) 972-1581
- Mailing Fax
- (203) 972-1980
- Medical School Name
- HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 1992
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-20-2007
- Last Update Date
- 02-13-2009
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Philip Pacelli opted out of Medicare effective on 10-06-2016 until 10-06-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
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
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 007900
- License State
- CT
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CV2783 | OTHER (01) | CT | HEALTH NET |
| P2552103 | OTHER (01) | CT | OXFORD |
| 020007900CT02 | OTHER (01) | CT | ANTHEM BCBS |
| 190000893 | MEDICARE ID-TYPE UNSPECIFIED (04) | CT |
Medicare Participation & PECOS Enrollment Status
Philip Pacelli is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Philip Pacelli 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-06-2016
Opt-Out End Date: 10-06-2026
Eligible to Order and Refer? Yes
PECOS PAC ID: 244395077
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: I20090321000001
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? Maybe
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
Reviews for DR. PHILIP FLEMMING PACELLI III MD DMD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 8 | 9 | 0 | 7 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 16 | 9 | 0 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 6 + 9 + 0 + 7 + 4 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1699890723 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699890723, enumerated as an "individual" on March 20, 2007.
The provider is located at 166 CHERRY STREET SUITE A NEW CANAAN, CT 06840 and the phone number is (203) 972-1581.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Oxford Health Plans, Blue. Please consult your insurance carrier or call the provider to verify.
