Michael Charles Tricoci, MD is a medicare enrolled "Emergency Medicine" physician in Williamsport, Indiana. His current practice location is
412 N Monroe St, Williamsport, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 762-4050.
Michael Charles Tricoci is licensed to practice in Indiana (license number 01071498A) 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 1619105103.
Physician's Profile
| Full Name | Michael Charles Tricoci |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 412 N Monroe St, Williamsport, Indiana |
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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: 1619105103
- Provider Enumeration Date: 06/23/2009
- Last Update Date: 05/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618125337
- Enrollment ID: I20120920000654
Medical Identifiers
Medical identifiers for Michael Charles Tricoci such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619105103 | NPI | - | NPPES |
| 201083110 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 01071498A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01071498A (Indiana) | 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. Michael Charles Tricoci allows following entities to bill medicare on his behalf.
| Entity Name | Lafayette Emergency Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861447211 PECOS PAC ID: 9830189240 Enrollment ID: O20040517001198 |
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| Entity Name | Cep America Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
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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. Michael Charles Tricoci 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 |
Michael Charles Tricoci, MD 2800 W Liberty Church Rd, Covington, IN 47932-8038 Ph: (312) 399-4935 | Michael Charles Tricoci, MD 412 N Monroe St, Williamsport, IN 47993-1049 Ph: (765) 762-4050 |
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