Ellen Riccio, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Freedom, Pennsylvania. Her current practice location is
95 Springer Rd, Freedom, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 333-7034.
Ellen Riccio is licensed to practice in Pennsylvania (license number SP015226) 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 1366827057.
Provider's Profile
| Full Name | Ellen Riccio |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 95 Springer Rd, Freedom, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366827057
- Provider Enumeration Date: 07/23/2015
- Last Update Date: 08/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 0749574341
- Enrollment ID: I20160804000825
Medical Identifiers
Medical identifiers for Ellen Riccio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366827057 | NPI | - | NPPES |
| SP015226 | Other | PA | CRNP STATE LICENSE |
| RN568111 | Other | PA | RN LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | RN568111 (Pennsylvania) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | SP015226 (Pennsylvania) | 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. Ellen Riccio allows following entities to bill medicare on her behalf.
| Entity Name | Carelon Medical Partners, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124443403
PECOS PAC ID: 9931332111
Enrollment ID: O20150424000053 |
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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. Ellen Riccio 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 |
|---|
Ellen Riccio, CRNP
95 Springer Rd,
Freedom, PA 15042-2187
Ph: (724) 333-7034 | Ellen Riccio, CRNP
95 Springer Rd,
Freedom, PA 15042-2187
Ph: (724) 333-7034 |
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