Brian Dicicco, in Providence, RI - Medicare Counselor Provider

Brian Dicicco, is a medicare enrolled "Counselor - Mental Health" provider in Providence, Rhode Island. His current practice location is 591 Admiral St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 383-2546.

Brian Dicicco is licensed to practice in Rhode Island (license number MHC00990) 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 1750838132.

Contact Information

	Brian Dicicco,
	591 Admiral St, Providence, RI 02908-1541
	(401) 383-2546
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brian Dicicco
Gender	Male
Speciality	Counselor - Mental Health
Location	591 Admiral St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750838132
Provider Enumeration Date: 09/02/2016
Last Update Date: 10/29/2018

Medicare PECOS Information:

PECOS PAC ID: 7810349958
Enrollment ID: I20240115000302

Medical Identifiers

Medical identifiers for Brian Dicicco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750838132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	MHC00990 (Rhode Island)	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. Brian Dicicco allows following entities to bill medicare on his behalf.

Entity Name	Thrive Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386671535 PECOS PAC ID: 4082528245 Enrollment ID: O20031203000297

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. Brian Dicicco 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 Address	Practice Location Address
Brian Dicicco, 591 Admiral St, Providence, RI 02908-1541 Ph: () -	Brian Dicicco, 591 Admiral St, Providence, RI 02908-1541 Ph: (401) 383-2546

Reviews and Comments

Counselor in Providence, RI

Olivia Meunier, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-274-2500
Mr. Brian P Shea, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Park Row W, #426, Providence, RI 02903 Phone: 617-455-2788
Alisha Choquette, AA, ACDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Burnett St, Providence, RI 02907 Phone: 401-785-0050 Fax: 401-941-0089
Betsy Riccio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 River Ave, Providence, RI 02908 Phone: 401-465-1955
Miss Ashley L Addison, BA, LCDP, CCSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4100
Jennifer Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110
Shane Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Pavilion Ave, Providence, RI 02905 Phone: 401-461-9110

Brian Dicicco, - Medicare Counselor in Providence, RI