Dr Alica Rucekova, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Ithaca, New York. Her current practice location is
1780 Hanshaw Rd, Ithaca, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 257-5858.
Dr Alica Rucekova is licensed to practice in Pennsylvania (license number MD435332) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427200641.
Physician's Profile
| Full Name | Dr Alica Rucekova |
|---|
| Gender | Female |
|---|
| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
|---|
| Location | 1780 Hanshaw Rd, Ithaca, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1427200641
- Provider Enumeration Date: 10/21/2008
- Last Update Date: 12/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 9335209212
- Enrollment ID: I20131122000563
Medical Identifiers
Medical identifiers for Dr Alica Rucekova such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427200641 | NPI | - | NPPES |
| 1022323480001 | Medicaid | PA | |
| 03053270 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | MD435332 (Pennsylvania) | 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. Dr Alica Rucekova allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
|---|
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 Alica Rucekova 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 |
|---|
Dr Alica Rucekova, MD
1 Guthrie Sq,
Sayre, PA 18840-1625
Ph: (570) 888-5858 | Dr Alica Rucekova, MD
1780 Hanshaw Rd,
Ithaca, NY 14850-9105
Ph: (607) 257-5858 |
Reviews and Comments