| Anthony Ricco, MD | |
|
500 Evergreen Dr Ste G1, Glen Mills, PA 19342-1032 | |
| (610) 579-3600 | |
| Not Available |
| Full Name | Anthony Ricco |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 9 Years |
| Location | 500 Evergreen Dr Ste G1, Glen Mills, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568817435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD472626 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riddle Memorial Hospital | Media, PA | Hospital |
| Main Line Hospital Lankenau | Wynnewood, PA | Hospital |
| Bryn Mawr Hospital | Bryn mawr, PA | Hospital |
| Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Main Line Radiation Oncology Pc | 0547231334 | 5 |
| Entity Name | Main Line Radiation Oncology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962402172 PECOS PAC ID: 0547231334 Enrollment ID: O20040804001299 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Ricco, MD 500 Evergreen Dr Ste G1, Glen Mills, PA 19342-1032 Ph: (610) 579-3600 | Anthony Ricco, MD 500 Evergreen Dr Ste G1, Glen Mills, PA 19342-1032 Ph: (610) 579-3600 |
Dr. Tejal Mody, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 101 Applied Bank Blvd Ste 11, Nemours Dupont Pediatrics, Glen Mills, Glen Mills, PA 19342 Phone: 484-800-8630 Fax: 484-800-8635 | |
Dr. Ryan Michael Bonshock, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Evergreen Dr, Glen Mills, PA 19342 Phone: 610-579-3515 |