Dr John P Risolo, MD is a medicare enrolled "Surgery" physician in Brockport, New York. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice University Of Rochester Surgical Associates and his current practice location is
156 West Ave Fl 3, Brockport, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 276-7874.
Dr John P Risolo is licensed to practice in New York (license number 213902) 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 1861411639.
Physician's Profile
Full Name | Dr John P Risolo |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 30 Years |
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Location | 156 West Ave Fl 3, Brockport, New York |
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Accepts Medicare Assignments | Yes. 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 John P Risolo graduated from medical school in 1994
NPI Data:
- NPI Number: 1861411639
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 07/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557401502
- Enrollment ID: I20091222000711
Medical Identifiers
Medical identifiers for Dr John P Risolo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861411639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 213902 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of Rochester Surgical Associates | 8022919232 | 40 |
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 John P Risolo allows following entities to bill medicare on his behalf.
Entity Name | University Of Rochester |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019 |
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Entity Name | University Of Rochester Surgical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740205566 PECOS PAC ID: 8022919232 Enrollment ID: O20040120000191 |
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Entity Name | United Memorial Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
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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 John P Risolo 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 John P Risolo, MD 601 Elmwood Avenue Box Surg, Rochester, NY 14642-0001 Ph: (585) 276-7874 | Dr John P Risolo, MD 156 West Ave Fl 3, Brockport, NY 14420-1229 Ph: (585) 276-7874 |
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