Phillip Martin Cicco, NP - Medicare Nurse Practitioner in Syracuse, NY

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Phillip Martin Cicco, NP is a medicare enrolled "Nurse Practitioner" in Syracuse, New York. His current practice location is 736 Irving Ave, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 470-7111.

Phillip Martin Cicco is licensed to practice in New York (license number 338748) 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 1679987143.

Contact Information

Phillip Martin Cicco, NP
736 Irving Ave,
Syracuse, NY 13210-1687
(315) 470-7111
Not Available

Map and Direction




Provider's Profile

Full NamePhillip Martin Cicco
GenderMale
SpecialityNurse Practitioner
Location736 Irving Ave, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679987143
  • Provider Enumeration Date: 06/12/2014
  • Last Update Date: 07/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8022236611
  • Enrollment ID: I20140822001731

Medical Identifiers

Medical identifiers for Phillip Martin Cicco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679987143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 338748 (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. Phillip Martin Cicco allows following entities to bill medicare on his behalf.
Entity NameCrouse Health Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841340205
PECOS PAC ID: 9739173774
Enrollment ID: O20040413000018
Entity NameCanton-potsdam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761
Entity NameEmergency Physician Services Of New York, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093759847
PECOS PAC ID: 8325939804
Enrollment ID: O20041001000684
Entity NameEmergency Care Services Of New York Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639236656
PECOS PAC ID: 3678678646
Enrollment ID: O20070419000474
Entity NameGouverneur Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295156412
PECOS PAC ID: 9931336724
Enrollment ID: O20140911000087
Entity NameVisavis Health Care Medical Group Of Ny, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194350066
PECOS PAC ID: 3870923519
Enrollment ID: O20200423001785
Entity NameMassena Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972604460
PECOS PAC ID: 1456781491
Enrollment ID: O20200515000493

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. Phillip Martin Cicco 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 AddressPractice Location Address
Phillip Martin Cicco, NP
5046 Revolutionary Path,
Liverpool, NY 13088

Ph: (570) 498-7688		Phillip Martin Cicco, NP
736 Irving Ave,
Syracuse, NY 13210-1687

Ph: (315) 470-7111

Reviews and Comments


Nurse Practitioner Nurses in Syracuse, NY

Janice M Agen, NP
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Practice Location: 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202
Phone: 315-464-5210    Fax: 315-464-2141
Irene S Borja, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-7111    
Mrs. Yingzi Wang, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 750 East Adams St, Syracuse, NY 13210
Phone: 315-464-1800    Fax: 315-464-6238
Michele Rene Mcdonald, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Irving Ave, Syracuse, NY 13210
Phone: 315-425-4400    
Nicole Marie Voudren, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-254-6914    Fax: 315-464-8524
Mary Jean Thomas, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-7111    
Frances I Swiecki, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202
Phone: 315-464-9335    Fax: 315-464-9338

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.