Kyle Angelicola-richardson, MD in Rome, NY - Medicare Orthopaedic Surgery

Kyle Angelicola-richardson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Rome, New York. His current practice location is 1500 N James St, Rome, New York. You can reach out to his office (for appointments etc.) via phone at (315) 338-9200.

Kyle Angelicola-richardson is licensed to practice in New York (license number 318975) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346771631.

Contact Information

	Kyle Angelicola-richardson, MD
	1500 N James St, Rome, NY 13440-2844
	(315) 338-9200
	(315) 338-9202

Map and Direction

Physician's Profile

Full Name	Kyle Angelicola-richardson
Gender	Male
Speciality	Orthopaedic Surgery
Location	1500 N James St, Rome, 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: 1346771631
Provider Enumeration Date: 03/27/2017
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1456699800
Enrollment ID: I20230829003563

Medical Identifiers

Medical identifiers for Kyle Angelicola-richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346771631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	318975 (New York)	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. Kyle Angelicola-richardson allows following entities to bill medicare on his behalf.

Entity Name	Rome Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376546440 PECOS PAC ID: 9638087273 Enrollment ID: O20040719001470

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. Kyle Angelicola-richardson 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
Kyle Angelicola-richardson, MD Po Box 2003, East Syracuse, NY 13057-4503 Ph: (315) 446-3904	Kyle Angelicola-richardson, MD 1500 N James St, Rome, NY 13440-2844 Ph: (315) 338-9200

Reviews and Comments

Orthopaedic Surgery Doctors in Rome, NY

Mr. Shiv S Bhatt, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1617 North James Street, Suite 900, Rome, NY 13479 Phone: 315-336-7499 Fax: 315-336-3831
Dr. Richard John Mutty, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1819 Black River Blvd N, Rome, NY 13440 Phone: 315-336-5600 Fax: 315-336-5618
Dr. Martin Ross, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 107 E Chestnut St Ste 106, Rome, NY 13440 Phone: 315-338-3200 Fax: 315-338-9202
Dr. Michael Tan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1617 N James St, Suite 900, Rome, NY 13440 Phone: 315-337-2903 Fax: 315-337-6253
Robert Mitchell Rubinovich, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 107 E Chestnut St, Suite 106, Rome, NY 13440 Phone: 315-338-9200 Fax: 315-338-9202

Kyle Angelicola-richardson, MD - Medicare Orthopaedic Surgery in Rome, NY