Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Raina Dicso, PA-C

Individual provider Physician Assistant · NPI 1174947683

Raina Dicso, PA-C is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2013, 13 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2800 Main St
Bridgeport, CT 06606-4201
Phone: (203) 576-6133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1174947683
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2014
Last updated in NPPESSeptember 5, 2023
Certification dateSeptember 5, 2023
Mailing address888 White Plains Rd Ste 206, Trumbull, CT 06611-4552

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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