Lisa Petricca, PA-C in Farmington, CT - Medicare Physician Assistant

Lisa Petricca, PA-C is a medicare enrolled "Physician Assistant - Medical" in Farmington, Connecticut. Her current practice location is 263 Farmington Avenue, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 679-2100.

Lisa Petricca is licensed to practice in Connecticut (license number 004952) 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 1003439936.

Contact Information

	Lisa Petricca, PA-C
	263 Farmington Avenue, Farmington, CT 06030-8040
	(860) 679-2100
	(860) 679-4815

Provider's Profile

Full Name	Lisa Petricca
Gender	Female
Speciality	Physician Assistant - Medical
Location	263 Farmington Avenue, Farmington, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003439936
Provider Enumeration Date: 05/27/2020
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1153793070
Enrollment ID: I20230202000607

Medical Identifiers

Medical identifiers for Lisa Petricca such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003439936	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363AM0700X	Physician Assistant - Medical	004952 (Connecticut)	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. Lisa Petricca 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
Lisa Petricca, PA-C 263 Farmington Avenue, Farmington, CT 06030-8040 Ph: (860) 679-2100	Lisa Petricca, PA-C 263 Farmington Avenue, Farmington, CT 06030-8040 Ph: (860) 679-2100

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Physician Assistant Nurses in Farmington, CT

Mr. Jason S. Pinho, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave Ste 110, Farmington, CT 06032 Phone: 860-549-3210
Alexandra Shaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6649
Ed Haggag, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Birdseye Rd Ste 260, Farmington, CT 06032 Phone: 203-518-8414
Mr. Paul Christopher Polzella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave, Suite 210, Farmington, CT 06032 Phone: 860-548-7338 Fax: 860-674-4232
Mrs. Heather Hansen Kurtzman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Ave, Emergency Department, Farmington, CT 06030 Phone: 860-679-2588
Courtney Ann Scott, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 599 Farmington Ave Fl 2, Farmington, CT 06032 Phone: 860-837-9600

Lisa Petricca, PA-C - Medicare Physician Assistant in Farmington, CT