Jacqueline C Tricarico, PA-C is a medicare enrolled "Internal Medicine - Sleep Medicine" in Glendale, Arizona. Her current practice location is
5620 W Thunderbird Rd Ste B, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 206-6262.
Jacqueline C Tricarico is licensed to practice in Arizona (license number 7785) 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 1780925362.
Provider's Profile
Full Name | Jacqueline C Tricarico |
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Gender | Female |
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Speciality | Internal Medicine - Sleep Medicine |
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Location | 5620 W Thunderbird Rd Ste B, Glendale, Arizona |
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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: 1780925362
- Provider Enumeration Date: 03/07/2013
- Last Update Date: 02/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143468553
- Enrollment ID: I20200228001589
Medical Identifiers
Medical identifiers for Jacqueline C Tricarico such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780925362 | NPI | - | NPPES |
7785 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0010-04192 (North Carolina) | Secondary |
207RS0012X | Internal Medicine - Sleep Medicine | 7785 (Arizona) | 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. Jacqueline C Tricarico 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 |
Jacqueline C Tricarico, PA-C 14598 W Windsor Ave, Goodyear, AZ 85395-2037 Ph: (315) 439-8610 | Jacqueline C Tricarico, PA-C 5620 W Thunderbird Rd Ste B, Glendale, AZ 85306-4636 Ph: (602) 206-6262 |
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