Mrs Alyssa M Ricchio, PA-C is a medicare enrolled "Physician Assistant" in Salem, Wisconsin. Her current practice location is
7525 242nd Ave, Salem, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 316-7103.
Mrs Alyssa M Ricchio is licensed to practice in Wisconsin (license number 2769-023) 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 1629364815.
Provider's Profile
| Full Name | Mrs Alyssa M Ricchio |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 7525 242nd Ave, Salem, Wisconsin |
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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: 1629364815
- Provider Enumeration Date: 06/26/2011
- Last Update Date: 05/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 4981874773
- Enrollment ID: I20110906000317
Medical Identifiers
Medical identifiers for Mrs Alyssa M Ricchio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1629364815 | NPI | - | NPPES |
| 100016108 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 2769-023 (Wisconsin) | 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. Mrs Alyssa M Ricchio 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 |
Mrs Alyssa M Ricchio, PA-C 7525 242nd Ave, Salem, WI 53168-9483 Ph: (262) 316-7103 | Mrs Alyssa M Ricchio, PA-C 7525 242nd Ave, Salem, WI 53168-9483 Ph: (262) 316-7103 |
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