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Christina E Ricci

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

PECOS Enrollment

This provider is enrolled in PECOS as CHRISTINA RICCI.

Based on the most recent information from CMS, provider Christina E Ricci is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 9:43 AM.

Profile Details

Provider ID
1811404767
Provider Type
Individual
Full Name
Ricci, Christina E
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
1/1/2018
Last Updated
6/6/2023

Contact Information

Practice Location

100 E Idaho St, Boise, ID 83712-6267

(208) 381-2733

Unlisted Fax

Mailing Location

190 E Bannock St, Boise, ID 83712-6241

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA-1782 Idaho

Christina E Ricci

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Smith, Cherish L

Kimble, Krystan

Nizich, Samantha Marie

Johnson, Connor

Mcdowell, Elizabeth

Talford, David B

Ambrosier, Amy M

Meziere, Lauren

Manko, Marc

Riggs, Rodney