| Ryan Reno Dirienzo, PA-C | |
|
16 Brentwood Dr, Ithaca, NY 14850-1863 | |
| (607) 272-7000 | |
| Not Available |
| Full Name | Ryan Reno Dirienzo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 16 Brentwood Dr, Ithaca, New York |
| 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 |
|---|---|---|---|
| 1205464344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 025842-01 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cayuga Medical Center At Ithaca | Ithaca, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cayuga Medical Associates Pc | 6709897960 | 278 |
| Capital Region Orthopaedic Associates, Pc | 3779496393 | 67 |
| Entity Name | Capital Region Orthopaedic Associates, PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871533216 PECOS PAC ID: 3779496393 Enrollment ID: O20031110000643 |
| Entity Name | Schuyler Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760582142 PECOS PAC ID: 3577548262 Enrollment ID: O20040618000324 |
| Entity Name | Cayuga Medical Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525455 PECOS PAC ID: 6709897960 Enrollment ID: O20060601000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Reno Dirienzo, PA-C 1 Eldorado Dr Apt D, Trumansburg, NY 14886-9333 Ph: (860) 543-5528 | Ryan Reno Dirienzo, PA-C 16 Brentwood Dr, Ithaca, NY 14850-1863 Ph: (607) 272-7000 |
Charlene Brew, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10 Graham Rd W, Ithaca, NY 14850 Phone: 607-257-2188 |
Paul Emerson Jones, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-274-4011 |
Ms. Paula Fitzsimmons, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1020 Craft Rd Ste C, Ithaca, NY 14850 Phone: 607-339-0625 Fax: 607-535-2714 |
Shanise Thomas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850 Phone: 607-272-7000 |
Rodger Joseph Lantz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Dates Dr, Ithaca, NY 14850 Phone: 607-279-0199 |
Rocco Rosano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr, Suite A, Ithaca, NY 14850 Phone: 607-272-7000 |
Mr. Bryan R Gibb, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16 Brentwood Dr Ste A, Ithaca, NY 14850 Phone: 607-272-7000 Fax: 607-272-4604 |