MARIO JON GIACOBASSI MD
NPI 1821783218
Student in an Organized Health Care Education/Training Program in Madison, WI

Q: What is Mario Giacobassi's NPI number?

The NPI number for Mario Giacobassi is 1821783218. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Q: What is Mario Giacobassi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mario Giacobassi was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2023PECOS Enrolled

1102 S PARK ST, MADISON, WI 53715(608) 263-3111(608) 263-6663 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mario Jon Giacobassi Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO JON GIACOBASSI MD (NPI 1821783218) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821783218

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMARIO JON GIACOBASSICredential: MD

Location Address1102 S PARK STMadison, WI 53715-1708

Mailing Address610 N Whitney Way, Ste 200Madison, WI 53705-2700

Phone(608) 263-3111

Fax(608) 263-6663

Sole ProprietorNo

Enumeration DateApril 10, 2023

NPPES CertifiedApril 10, 2023

✔ NPI 1821783218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1102 S PARK ST, Madison, WI 53715

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario Jon Giacobassi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN J REGNER MD

Family Medicine