Provider Profile

Mia R. Dericco

Unclaimed Profile

About Mia Dericco

Mia R. Dericco is a physician assistant — medical based in Bay Shore, NY. Medicare claims data shows Mia provided 140 services to 123 patients. The services billed most often include visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient', new patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more, and established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.

Education & Training

School Other Graduated: 2023

Specialty

Physician Assistant — Medical (Primary)

Credentials & Licensing

NY license030197
NPI1194407999
NPI issued08/02/2023

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Mia R. Dericco?

Mia R. Dericco is a physician assistant in Bay Shore, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Physician Assistant — Medical”.

NPI registry

What is Mia R. Dericco's address?

Mia R. Dericco is listed at 270 E Main St, Bay Shore, NY 11706. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Mia R. Dericco?

The number on file is (631) 591-7470. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Mia R. Dericco?

Mia R. Dericco's National Provider Identifier is 1194407999. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Mia R. Dericco train?

Mia R. Dericco attended Other, graduating in 2023. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Mia R. Dericco have?

Mia R. Dericco has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.

CMS public data

What procedures does Mia R. Dericco perform?

According to Medicare billing data, Mia R. Dericco the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Mia R. Dericco's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Mia R. Dericco. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.