Dr Michael J Decicco, MD is a medicare enrolled "Otolaryngology" physician in Geneva, New York. He went to State University Of Ny Upstate Medical University and graduated in 1991 and has 33 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice University Otolaryngology Associates and his current practice location is
200 North St, Suite 301, Geneva, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 787-5353.
Dr Michael J Decicco is licensed to practice in New York (license number 220674) 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 1255355202.
Physician's Profile
| Full Name | Dr Michael J Decicco |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 33 Years |
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| Location | 200 North St, Geneva, 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. |
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Medical Education and Training:
- Dr Michael J Decicco attended and graduated from State University Of Ny Upstate Medical University in 1991
NPI Data:
- NPI Number: 1255355202
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 3375571458
- Enrollment ID: I20070802000473
Medical Identifiers
Medical identifiers for Dr Michael J Decicco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255355202 | NPI | - | NPPES |
| 02171671 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 220674 (New York) | Secondary |
| 207Y00000X | Otolaryngology | 220674 (New York) | Primary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | 220674 (New York) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Otolaryngology Associates | 2860395795 | 34 |
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 Michael J Decicco allows following entities to bill medicare on his behalf.
| Entity Name | University Otolaryngology Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679518088
PECOS PAC ID: 2860395795
Enrollment ID: O20040129000089 |
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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 Michael J Decicco 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 |
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Dr Michael J Decicco, MD
200 North St, Suite 301,
Geneva, NY 14456-1561
Ph: (315) 787-5353 | Dr Michael J Decicco, MD
200 North St, Suite 301,
Geneva, NY 14456-1561
Ph: (315) 787-5353 |
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