Kristen Dicicco, OT, DOT - Medicare Occupational Therapist in Goodyear, AZ

Kristen Dicicco, OT, DOT is a medicare enrolled "Occupational Therapist" provider in Goodyear, Arizona. She graduated from medical school in 2022 and has 2 years of diverse experience with area of expertise as Occupational Therapy. She is a member of the group practice Dht Hand Therapy Limited Partnership and her current practice location is 790 N Estrella Pkwy Ste C, Goodyear, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 765-4348.

Kristen Dicicco is licensed to practice in Arizona (license number OTC9339) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043945074.

Contact Information

Kristen Dicicco, OT, DOT
790 N Estrella Pkwy Ste C,
Goodyear, AZ 85338-9290
(602) 765-4348
(623) 233-6567



Healthcare Provider's Profile

Full NameKristen Dicicco
GenderFemale
SpecialityOccupational Therapy
Experience2 Years
Location790 N Estrella Pkwy Ste C, Goodyear, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristen Dicicco graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1043945074
  • Provider Enumeration Date: 07/22/2022
  • Last Update Date: 07/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6800279050
  • Enrollment ID: I20220819002840

Medical Identifiers

Medical identifiers for Kristen Dicicco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043945074NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OTC9339 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dht Hand Therapy Limited Partnership054736269128

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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. Kristen Dicicco allows following entities to bill medicare on her behalf.
Provider NameArizona Center For Hand Surgery Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1972502227
PECOS PAC ID: 4880585603
Enrollment ID: O20040322001660

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Provider NameDht Hand Therapy Limited Partnership
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1629137997
PECOS PAC ID: 0547362691
Enrollment ID: O20070221000195

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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. Kristen 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 AddressPractice Location Address
Kristen Dicicco, OT, DOT
300 W Clarendon Ave Ste 285,
Phoenix, AZ 85013-3474

Ph: (602) 279-6905
Kristen Dicicco, OT, DOT
790 N Estrella Pkwy Ste C,
Goodyear, AZ 85338-9290

Ph: (602) 765-4348

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Occupational Therapist in Goodyear, AZ

Nicole Hernandez, OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 13481 W Mcdowell Rd Ste 300, Goodyear, AZ 85395
Phone: 480-244-3651    
Jazz Taylor White, MOTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 13385 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-986-5110    
Mr. Thomas James Stevens,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 14557 W Indian School Rd, Goodyear, AZ 85395
Phone: 623-242-6908    
Candace B Ortiz,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 13851 W La Mar Blvd Ste D, Goodyear, AZ 85338
Phone: 623-399-6159    Fax: 623-399-6416
Dr. Sara Murray Cloar, OTD
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 13385 W Mcdowell Rd, Goodyear, AZ 85395
Phone: 623-986-5110    
Megan Dzimira, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 14557 W Indian School Rd, Goodyear, AZ 85395
Phone: 623-229-7808    

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