Tricia Rickettsfacey, is a medicare enrolled "Nurse Practitioner - Family" physician in Danbury, Connecticut. Her current practice location is
100 Reserve Rd Ste A4, Danbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 794-1979.
Tricia Rickettsfacey is licensed to practice in Connecticut (license number 11183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619308475.
Physician's Profile
Full Name | Tricia Rickettsfacey |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 100 Reserve Rd Ste A4, Danbury, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619308475
- Provider Enumeration Date: 12/04/2013
- Last Update Date: 11/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678946647
- Enrollment ID: I20230222003138
Medical Identifiers
Medical identifiers for Tricia Rickettsfacey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619308475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 1118 (Connecticut) | Secondary |
363LF0000X | Nurse Practitioner - Family | 11183 (Connecticut) | 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. Tricia Rickettsfacey allows following entities to bill medicare on her behalf.
Entity Name | Prohealth Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720194053 PECOS PAC ID: 1355246950 Enrollment ID: O20031205000602 |
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Entity Name | Z. Michael Taweh Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811183312 PECOS PAC ID: 8820030141 Enrollment ID: O20091006000587 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200114001048 |
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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. Tricia Rickettsfacey 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 |
Tricia Rickettsfacey, 9 Spring Ridge Ct, Danbury, CT 06811-3084 Ph: (347) 538-4542 | Tricia Rickettsfacey, 100 Reserve Rd Ste A4, Danbury, CT 06810-5267 Ph: (203) 794-1979 |
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