Glenn Michael Riccio, PA-C is a
Physician Assistant based in Clear Brook, Virginia. Glenn Michael Riccio is licensed to practice in Virginia (license number 0110007920) and his current practice location is
365 Tyler Dr, Clear Brook, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 326-2164.
NPI number for Glenn Michael Riccio is 1366019085 and his current mailing address is 365 Tyler Dr, Clear Brook, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366019085.
Provider's Profile
| Full Name | Glenn Michael Riccio |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
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| Location | 365 Tyler Dr, Clear Brook, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366019085
- Provider Enumeration Date: 06/10/2021
- Last Update Date: 06/10/2021
Medical Identifiers
Medical identifiers for Glenn Michael Riccio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366019085 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0110007920 (Virginia) | Primary |
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. Glenn Michael Riccio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Glenn Michael Riccio, PA-C
365 Tyler Dr,
Clear Brook, VA 22624-1662
Ph: (434) 326-2164 | Glenn Michael Riccio, PA-C
365 Tyler Dr,
Clear Brook, VA 22624-1662
Ph: (434) 326-2164 |
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