Antonietta Dicicco, NP in East Setauket, NY - Medicare Nurse Practitioner

Antonietta Dicicco, NP is a medicare enrolled "Nurse Practitioner - Family" in East Setauket, New York. Her current practice location is 12 Stony Wood Rd, East Setauket, New York. You can reach out to her office (for appointments etc.) via phone at (516) 424-7474.

Antonietta Dicicco is licensed to practice in New York (license number F351108-01) 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 1396442190.

Contact Information

	Antonietta Dicicco, NP
	12 Stony Wood Rd, East Setauket, NY 11733-1839
	(516) 424-7474
	Not Available

Map and Direction

Provider's Profile

Full Name	Antonietta Dicicco
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12 Stony Wood Rd, East Setauket, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396442190
Provider Enumeration Date: 02/13/2023
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4880136092
Enrollment ID: I20240603004135

Medical Identifiers

Medical identifiers for Antonietta Dicicco such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396442190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F351108-01 (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. Antonietta Dicicco allows following entities to bill medicare on her behalf.

Entity Name	North Shore Lij Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060

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. Antonietta Dicicco 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
Antonietta Dicicco, NP 12 Stony Wood Rd, East Setauket, NY 11733-1839 Ph: (516) 424-7474	Antonietta Dicicco, NP 12 Stony Wood Rd, East Setauket, NY 11733-1839 Ph: (516) 424-7474

Reviews and Comments

Nurse Practitioner Nurses in East Setauket, NY

Sandra Thomas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 N Belle Mead Rd, East Setauket, NY 11733 Phone: 631-724-4664
Margaret A Cariola, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Nesconset Hwy, Ste 101, East Setauket, NY 11733 Phone: 631-751-8700 Fax: 631-751-5971
Ms. Jennifer Griffin, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4686
Ms. Jennifer M Mulvey Fitzgerald, NP, CDE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26 Research Way, Suite 1, East Setauket, NY 11733 Phone: 914-649-9993
Frances M Tanzella, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 37 Research Way, East Setauket, NY 11733 Phone: 631-444-4907 Fax: 631-444-4189
Mrs. Kristen Eileen Alarcon, F.N,P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6 Technology Dr, East Setauket, NY 11733 Phone: 631-444-4686
Ms. Kelly Ann O'toole, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Technology Dr Ste 210, East Setauket, NY 11733 Phone: 631-331-1506 Fax: 631-331-5364

Antonietta Dicicco, NP - Medicare Nurse Practitioner in East Setauket, NY