Dr Dominic Theodore Diciro, MD - Medicare Emergency Medicine in Everett, WA

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Dr Dominic Theodore Diciro, MD is a medicare enrolled "Emergency Medicine" physician in Everett, Washington. He graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Sikeston Emergency Group Llc and his current practice location is 1321 Colby Ave, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 261-2000.

Dr Dominic Theodore Diciro is licensed to practice in Missouri (license number 2012003239) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376596981.

Contact Information

Dr Dominic Theodore Diciro, MD
1321 Colby Ave,
Everett, WA 98201-1665
(425) 261-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Dominic Theodore Diciro
GenderMale
SpecialityEmergency Medicine
Experience33 Years
Location1321 Colby Ave, Everett, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Dominic Theodore Diciro graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1376596981
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 04/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759270028
  • Enrollment ID: I20120706000431

Medical Identifiers

Medical identifiers for Dr Dominic Theodore Diciro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376596981NPI-NPPES
8436651MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 31881 (Kentucky)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services MD000045375 (Washington)Secondary
207P00000XEmergency Medicine 2012003239 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Missouri Delta Medical CenterSikeston, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sikeston Emergency Group Llc630511281416

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. Dr Dominic Theodore Diciro allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Of Memphis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437105277
PECOS PAC ID: 5395643209
Enrollment ID: O20060711000434
Entity NameGateway Emergency Physicians Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699108282
PECOS PAC ID: 2668559808
Enrollment ID: O20080411000377
Entity NameLake Forest Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023261716
PECOS PAC ID: 1759441884
Enrollment ID: O20081119000794
Entity NameCamden Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003181637
PECOS PAC ID: 2961665369
Enrollment ID: O20120523000037
Entity NameBridgeton Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053660076
PECOS PAC ID: 5193978948
Enrollment ID: O20130104000140
Entity NamePoplar Bluff Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679822647
PECOS PAC ID: 0648424614
Enrollment ID: O20130129000611
Entity NameSikeston Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427575299
PECOS PAC ID: 6305112814
Enrollment ID: O20171030000375

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. Dr Dominic Theodore Diciro 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
Dr Dominic Theodore Diciro, MD
7804 167th St Se,
Snohomish, WA 98296-6323

Ph: () -		Dr Dominic Theodore Diciro, MD
1321 Colby Ave,
Everett, WA 98201-1665

Ph: (425) 261-2000

Reviews and Comments


Emergency Medicine Doctors in Everett, WA

Dr. Kurt R. Duffens, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 3927 Rucker Ave, Everett, WA 98201
Phone: 425-339-5422    Fax: 425-339-5444
Arunachalam Einstein, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1321 Colby Ave, Everett, WA 98201
Phone: 425-261-2000    
Daniel A Zak, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1321 Colby Ave, Everett, WA 98201
Phone: 425-261-2000    
James Goldberg, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1716 W Marine View Dr Ste C, Everett, WA 98201
Phone: 425-259-0212    
Dr. Joseph Primo Mazzoncini Jr., M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1700 13th St, Everett, WA 98201
Phone: 425-261-2000    
Eric Cooper, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1321 Colby Ave, Everett, WA 98201
Phone: 425-261-2000    
Priyanka Malini Ravindran, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1321 Colby Ave, Everett, WA 98201
Phone: 425-261-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.