Dr Richard Lark Dicicco, MD in Tampa, FL - Medicare General Surgery

Dr Richard Lark Dicicco, MD is a medicare enrolled "Surgery" physician in Tampa, Florida. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Greater Tampa Bay Physician Specialists Llc and his current practice location is 508 S Habana Ave, Suite 160, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 877-6000.

Dr Richard Lark Dicicco is licensed to practice in Florida (license number ME90737) 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 1811989874.

Contact Information

	Dr Richard Lark Dicicco, MD
	508 S Habana Ave, Suite 160, Tampa, FL 33609-4181
	(813) 877-6000
	(813) 877-6002

Map and Direction

Physician's Profile

Full Name	Dr Richard Lark Dicicco
Gender	Male
Speciality	General Surgery
Experience	25 Years
Location	508 S Habana Ave, Tampa, Florida
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 Richard Lark Dicicco graduated from medical school in 1999

NPI Data:

NPI Number: 1811989874
Provider Enumeration Date: 08/16/2005
Last Update Date: 01/14/2022

Medicare PECOS Information:

PECOS PAC ID: 5395712616
Enrollment ID: I20040915000441

Medical Identifiers

Medical identifiers for Dr Richard Lark Dicicco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811989874	NPI	-	NPPES
50968	Other	FL	BLUE CROSS BLUE SHIELD FL
7683574	Other	FL	AETNA HEALTHCARE
307206	Other	FL	AMERIGROUP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	ME90737 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of Tampa	Tampa, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Greater Tampa Bay Physician Specialists Llc	2961637715	19

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 Richard Lark Dicicco allows following entities to bill medicare on his behalf.

Entity Name	Greater Tampa Bay Physician Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528492287 PECOS PAC ID: 2961637715 Enrollment ID: O20131101000759

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 Richard Lark 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
Dr Richard Lark Dicicco, MD 37840 Medical Arts Ct, Zephyrhills, FL 33541-4325 Ph: (813) 788-5569	Dr Richard Lark Dicicco, MD 508 S Habana Ave, Suite 160, Tampa, FL 33609-4181 Ph: (813) 877-6000

Reviews and Comments

Surgery Doctors in Tampa, FL

Dr. Michael Martin Wach, MD Surgery Medicare: Medicare Enrolled Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2916
Thomas J Herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7968
Marco Antonio Rajo Andrade, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6919 N Dale Mabry Hwy Ste 200, Tampa, FL 33614 Phone: 813-933-3324 Fax: 813-932-4357
Brad L Johnson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201
Dr. Karl Armistead Illig, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606 Phone: 813-259-0921 Fax: 813-259-0606
Dr. Tuan Hoai Pham, M.D., PHD Surgery Medicare: Medicare Enrolled Practice Location: 3001 W Dr Mlk Blvd, Tampa, FL 33607 Phone: 813-554-8384 Fax: 813-443-8160
Gavin R Davis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, J402, Tampa, FL 33606 Phone: 813-844-7412

Dr Richard Lark Dicicco, MD - Medicare General Surgery in Tampa, FL