Mr Brenton Joseph Lariccia, RPA-C is a medicare enrolled "Physician Assistant" physician in Rochester, New York. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Acute Care Trauma Of The University Of Rochester and his current practice location is
401 Picturesque Dr, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 770-3642.
Mr Brenton Joseph Lariccia is licensed to practice in New York (license number 012642) 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 1851556013.
Physician's Profile
| Full Name | Mr Brenton Joseph Lariccia |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 401 Picturesque Dr, Rochester, 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:
- Mr Brenton Joseph Lariccia graduated from medical school in 2008
NPI Data:
- NPI Number: 1851556013
- Provider Enumeration Date: 07/26/2008
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658605662
- Enrollment ID: I20190625003365
Medical Identifiers
Medical identifiers for Mr Brenton Joseph Lariccia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1851556013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0102X | Surgery - Surgical Critical Care | 12642 (New York) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 012642 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Acute Care Trauma Of The University Of Rochester | 7810281029 | 13 |
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. Mr Brenton Joseph Lariccia 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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Mr Brenton Joseph Lariccia, RPA-C
401 Picturesque Dr,
Rochester, NY 14616-1005
Ph: (585) 770-3642 | Mr Brenton Joseph Lariccia, RPA-C
401 Picturesque Dr,
Rochester, NY 14616-1005
Ph: (585) 770-3642 |
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